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Symptomatic HIV seroconverting illness is associated with more rapid neurological impairment
  1. M R Wallace1,
  2. J A Nelson2,
  3. J A McCutchan2,
  4. T Wolfson2,
  5. I Grant2,3,
  6. for the HNRC Group
  1. 1Naval Medical Center San Diego, CA, USA
  2. 2University of California at San Diego, CA, USA
  3. 3San Diego VA Healthcare System, CA, USA
  1. Clinical Investigation Department, Naval Medical Center San Diego, 34800 Bob Wilson Drive, Suite 5, San Diego, CA 92134-1005, USAmrwallace{at}nmcsd.med.navy.mil

Abstract

Objectives: To establish whether symptomatic seroconverting illness in HIV infected people is associated with more rapid development of neurological impairment.

Methods: 166 HIV infected subjects with a known date of HIV infection enrolled in a longitudinal study of neurocognitive function were stratified by whether or not they had experienced a symptomatic serconverting illness.

Results: 29 of 166 (17.5%) dated HIV seroconverters had a history of symptomatic seroconverting illness. Though baseline neurocognitive function was similar, subjects with a symptomatic seroconverting illness developed clinical neurocognitive impairment significantly more rapidly than their asymptomatic counterparts in a survival analysis model (636 v 1075 days till impaired).

Conclusion: Symptomatic seroconverting illness predisposes to more rapid neurocognitive impairment.

  • HIV
  • seroconverting illness
  • neurocognitive impairment

https://doi.org/10.1136/sti.77.3.199

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