一名HIV-1阳性的女性没有常见的免疫缺陷

IF 0.5 Q4 INFECTIOUS DISEASES Archives of Clinical Infectious Diseases Pub Date : 2021-12-06 DOI:10.5812/archcid.119029
Bagher Moradi, Saeed Keshvari
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引用次数: 0

摘要

引言:获得性免疫缺陷综合征(艾滋病)对免疫系统造成严重损害。它通过输血、垂直传播和性传播从一个人传播到另一个人。应该指出的是,几乎所有报道艾滋病的论文都强调艾滋病毒会导致免疫缺陷。然而,这项研究报道了第一位HIV-1血清阳性女性,她有HIV-1的活性病毒载量,没有任何迹象或CD4淋巴细胞计数减少。病例介绍:这项研究首次报告了一名46岁的HIV-1血清阳性女性,她在31年前通过实验室检测诊断出没有任何体征和症状。此外,值得注意的是,患者在感染期间没有接受常规治疗。我们的血清学测试显示一名活动性血清阳性患者没有任何CD4耗竭。HIV-1的病毒载量为132967.2 u/L,通过实时PCR测定进行定量。此外,进行了CBC测试,没有显示异常结果。结论:未经治疗的HIV-1阳性无免疫缺陷患者是一种罕见的情况,我们在文献中没有发现这种情况的报告。本文报道了一名HIV-1阳性患者,该患者使用实时PCR方法多次确诊感染。
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An HIV-1 Positive Woman Without Usual Immunodeficiency
Introduction: Acquired immune deficiency syndrome (AIDS) inflicts severe damage to the immune system. It transmits from one person to another through blood transfusions and vertical and sexual transmission. It should be noted that almost all papers reporting AIDS emphasized that HIV led to immune deficiency. However, this study reported the first HIV-1 seropositive woman who had an active viral load of HIV-1 without any signs or CD4 lymphocyte count depletion. Case Presentation: This study, for the first time, reported a 46-year-old HIV-1 seropositive woman without any signs and symptoms diagnosed 31 years ago by laboratory tests. Also, it is noteworthy that the patient had not received regular therapeutics during the infection period. Our serologic tests showed an active seropositive patient without any CD4 depletion. The viral load of HIV-1 was 132967.2 u/L, which was quantified by a real-time PCR assay. Also, a CBC test was performed and showed no abnormal results. Conclusions: An untreated HIV-1 positive patient without immunodeficiency is a rare condition, and we found no report of it in the literature. This article reported an HIV-1 positive patient in whom the infection was confirmed several times using the real-time PCR method.
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来源期刊
CiteScore
3.40
自引率
0.00%
发文量
46
期刊介绍: Archives of Clinical Infectious Diseases is a peer-reviewed multi-disciplinary medical publication, scheduled to appear quarterly serving as a means for scientific information exchange in the international medical forum. The journal particularly welcomes contributions relevant to the Middle-East region and publishes biomedical experiences and clinical investigations on prevalent infectious diseases in the region as well as analysis of factors that may modulate the incidence, course, and management of infectious diseases and pertinent medical problems in the Middle East.
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