Virtual Patient Reference Library
Clinical Aspects of HIV Infection
page 1
Primary HIV Syndrome
Epidemiologic Overview and Classification
  Table 1: Indicator Conditions for Case Definitions of AIDS
HIV Testing
  Introduction
  Pretest Counseling
  Methods
  Post-test Counseling
  Risk Reduction
Initial Evaluation
  History
  ROS & PE
  Laboratory
  CD4 & Viral Load
Spectrum of HIV Disease
Stratified Management
Follow-up
Routine Health Care Maintenance
  Immunizations
  Table 1: Immunizations
  Gynecologic Care
  Tuberculosis Prevention

   last update February 2003

 Primary HIV Syndrome
  • Earliest clinical manifestations of HIV infection are known as "primary HIV syndrome."
  • Common symptoms include: fever; a maculopapular rash on the trunk and extremities; myalgias and arthralgias; lymphadenopathy; hepatitis; and diarrhea.
  • Laboratory abnormalities may include: atypical lymphocytosis, leukopenia, thrombocytopenia, and increased liver function tests.
  • Since these symptoms are relatively nonspecific and may not be severe, they are sometimes attributed to a bad cold, "the flu," or mononucleosis.
  • The diagnosis of primary HIV syndrome is established by a detectable viral load in the context of a negative antibody test.
  • Several weeks to a few months pass before the antibody test becomes positive.





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