Symptomatic HIV Seroconverting Illness is Associated with More Rapid Neurological Impairment
Overview
Affiliations
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-1-associated neurocognitive disorder: epidemiology, pathogenesis, diagnosis, and treatment.
Eggers C, Arendt G, Hahn K, Husstedt I, Maschke M, Neuen-Jacob E J Neurol. 2017; 264(8):1715-1727.
PMID: 28567537 PMC: 5533849. DOI: 10.1007/s00415-017-8503-2.
Eggers C Nervenarzt. 2014; 85(10):1280-90.
PMID: 25292163 DOI: 10.1007/s00115-014-4082-y.
Low prevalence of neurocognitive impairment in early diagnosed and managed HIV-infected persons.
Crum-Cianflone N, Moore D, Letendre S, Poehlman Roediger M, Eberly L, Weintrob A Neurology. 2013; 80(4):371-9.
PMID: 23303852 PMC: 3589242. DOI: 10.1212/WNL.0b013e31827f0776.
Spudich S, Gisslen M, Hagberg L, Lee E, Liegler T, Brew B J Infect Dis. 2011; 204(5):753-60.
PMID: 21844301 PMC: 3156103. DOI: 10.1093/infdis/jir387.
Loss of neuronal integrity during progressive HIV-1 infection of humanized mice.
Dash P, Gorantla S, Gendelman H, Knibbe J, Casale G, Makarov E J Neurosci. 2011; 31(9):3148-57.
PMID: 21368026 PMC: 3059783. DOI: 10.1523/JNEUROSCI.5473-10.2011.