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Infections in HIV-Infected Patients

  • Onyema Ogbuagu
  • R. Douglas Bruce
Chapter

Abstract

People living with human immunodeficiency virus (HIV) are at risk for serious and life-threatening infectious complications. Indeed, infections constitute the chief cause of mortality in untreated patients. While the majority of the infections occur in individuals with acquired immunodeficiency syndrome (AIDS), the vulnerability to certain infections remains high even in patients with higher CD4 counts as immune defects occur very early in infection and persist even in patients who have experienced immune reconstitution following the use of combination antiretroviral therapy (cART). The association between CD4 counts and vulnerability to certain infections allows the clinician to quite accurately predict which infections are likely or unlikely to occur in an individual based on the CD4 count. In addition, HIV interacts with other pathogens that impact the natural history of both infections and may result in accelerated sequelae of infection. This chapter will highlight the epidemiology, pathogenesis, clinical presentation, management, prognosis, and prevention of common infections that occur in HIV-infected patients.

Keywords

Human immunodeficiency virus (HIV) Acquired immunodeficiency syndrome (AIDS) Immune reconstitution inflammatory syndrome (IRIS) Human herpes virus (HHV) Antiretroviral therapy Mycobacterium tuberculosis Progressive multifocal leukoencephalopathy (PML) Toxoplasmosis Histoplasmosis 

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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Section of Infectious DiseasesYale University School of MedicineNew HavenUSA
  2. 2.Yale University School of Medicine, Cornell Scott-Hill Health CenterNew HavenUSA

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