INFLUENCE OF NEUROLOGIC MANIFESTATIONS OF PRIMARY HUMAN-IMMUNODEFICIENCY-VIRUS INFECTION ON DISEASE PROGRESSION

被引:58
作者
BOUFASSA, F [1 ]
BACHMEYER, C [1 ]
CARRE, N [1 ]
DEVEAU, C [1 ]
PERSOZ, A [1 ]
JADAND, C [1 ]
SERENI, D [1 ]
BUCQUET, D [1 ]
ROUZIOUX, C [1 ]
DELLAMONICA, P [1 ]
GALLAIS, H [1 ]
DELFRAISSY, JF [1 ]
LEFRERE, JJ [1 ]
CASSUTO, JP [1 ]
DUPONT, B [1 ]
VITTECOQ, D [1 ]
HERSON, S [1 ]
GASTAUT, JA [1 ]
VILDE, JL [1 ]
KATLAMA, C [1 ]
SOBEL, A [1 ]
DUVAL, J [1 ]
KAZATCHKINE, M [1 ]
LEBRAS, P [1 ]
EVEN, P [1 ]
GUILLEVIN, L [1 ]
MEYER, L [1 ]
DEVEAU, C [1 ]
机构
[1] HOP COCHIN, DEPT MED INTERNE, Cochin, FRANCE
关键词
D O I
10.1093/infdis/171.5.1190
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
To determine the influence of neurologic manifestations of primary human immunodeficiency virus (HIV) infection on disease progression, 277 nonhemophiliac adults enrolled <1 year after HIV infection were studied, Patients with neurologic manifestations during symptomatic primary HIV infection (PSI) (group N+; n = 23), with nonneurologic manifestations (group N-; n = 112) during PSI, and without any clinical manifestation during primary infection (group NPI; n = 142) were compared for disease progression, Age at infection, sex, mode of infection and CD4(+) cell count at first visit did not differ between groups, In a Cox model, the relative risk (RR) of developing AIDS was 6.11 (95% confidence interval [CI], 1.94-19.28) in group Nf and 2.32 (95% CI, 0.93-5.83) in group N- compared with group NPI, The RR of AIDS onset after adjustment for treatment and age at infection was, respectively, 4.65 (95% CI, 1.43-15.03) and 2.03 (95% CI, 0.80-5.19) in groups N+ and N-, Neurologic manifestations of primary HIV infection are associated with an accelerated progression of disease.
引用
收藏
页码:1190 / 1195
页数:6
相关论文
共 30 条
[1]   RAPID DEVELOPMENT OF ISOLATE-SPECIFIC NEUTRALIZING ANTIBODIES AFTER PRIMARY HIV-1 INFECTION AND CONSEQUENT EMERGENCE OF VIRUS VARIANTS WHICH RESIST NEUTRALIZATION BY AUTOLOGOUS SERA [J].
ALBERT, J ;
ABRAHAMSSON, B ;
NAGY, K ;
AURELIUS, E ;
GAINES, H ;
NYSTROM, G ;
FENYO, EM .
AIDS, 1990, 4 (02) :107-112
[2]   AIDS INCUBATION IN 1891 HIV SEROCONVERTERS FROM DIFFERENT EXPOSURE GROUPS [J].
BIGGAR, RJ .
AIDS, 1990, 4 (11) :1059-1066
[3]  
BUCQUET D, 1994, PRESSE MED, V23, P1247
[4]  
CARRE CA, 1985, LANCET, V2, P1206
[5]   EFFECT OF AGE AND EXPOSURE GROUP ON THE ONSET OF AIDS IN HETEROSEXUAL AND HOMOSEXUAL HIV-INFECTED PATIENTS [J].
CARRE, N ;
DEVEAU, C ;
BELANGER, F ;
BOUFASSA, F ;
PERSOZ, A ;
JADAND, C ;
ROUZIOUX, C ;
DELFRAISSY, JF ;
BUCQUET, D ;
DELLAMONICA, P ;
GALLAIS, H ;
DORMONT, J ;
LEFRERE, JJ ;
CASSUTO, JP ;
DUPONT, B ;
VITTECOQ, D ;
HERSON, S ;
GASTAUT, JA ;
SERENI, D ;
VILDE, JL ;
BRUCKER, G ;
KATLAMA, C ;
SOBEL, A ;
DUVAL, J ;
KAZATCHINE, M ;
LEBRAS, P ;
EVEN, P ;
GUILLEVIN, L .
AIDS, 1994, 8 (06) :797-802
[6]   RELATION BETWEEN HUMORAL RESPONSES TO HIV GAG AND ENV PROTEINS AT SEROCONVERSION AND CLINICAL OUTCOME OF HIV-INFECTION [J].
CHEINGSONGPOPOV, R ;
PANAGIOTIDI, C ;
BOWCOCK, S ;
ARONSTAM, A ;
WADSWORTH, J ;
WEBER, J .
BMJ-BRITISH MEDICAL JOURNAL, 1991, 302 (6767) :23-26
[7]   HIGH TITERS OF CYTOPATHIC VIRUS IN PLASMA OF PATIENTS WITH SYMPTOMATIC PRIMARY HIV-1 INFECTION [J].
CLARK, SJ ;
SAAG, MS ;
DECKER, WD ;
CAMPBELLHILL, S ;
ROBERSON, JL ;
VELDKAMP, PJ ;
KAPPES, JC ;
HAHN, BH ;
SHAW, GM .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 324 (14) :954-960
[8]  
COOPER DA, 1985, LANCET, V1, P537
[9]   TRANSIENT HIGH-LEVELS OF VIREMIA IN PATIENTS WITH PRIMARY HUMAN-IMMUNODEFICIENCY-VIRUS TYPE-1 INFECTION [J].
DAAR, ES ;
MOUDGIL, T ;
MEYER, RD ;
HO, DD .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 324 (14) :961-964
[10]   REPLICATIVE CAPACITY, CYTOPATHIC EFFECT AND CELL TROPISM OF HIV [J].
FENYO, EM ;
ALBERT, J ;
ASJO, B .
AIDS, 1989, 3 :S5-S12