Primary HIV Infection

Primary HIV infection

Michael Carter, Greta Hughson

Published: March 04 2013

THE first months after contact with VIV are part of a context that we call primary infection, or acute HIV infection. During this early stage of HIV infection, the human immune system is completely unprepared to fight the virus, meanwhile, reproduces in very high replication rates!

Um take viral load at this time of infection always redound a high level of copies of the virus per milliliter of blood (translator's note: mine was more than three million)) - and often much higher than in any other phase of HIV infection itself. To make matters worse, in many people there is a dramatic drop in CD4 cell counts in these patients, which, in addition to exposing the person to a greater number of opportunistic diseases, still low the patient's heart in question.

Diagnosing Primary HIV Infection

The primary HIV infection has much in common with the symptoms of flu or another viral disease without greater importance. To these symptoms often called seroconversion illness. Or acute retroviral syndrome. A number around 90% of those who were diagnosed as HIV positive will have experienced one or more of these symptoms, usually during the first four weeks after the initial exposure to the virus: fever, rash, headache "a certain uneasiness, pain canker sores or mouth ulcers, sore throat, night sweats, weight loss, fatigue without apparent cause, swollen glands, weight loss, and some neurological symptoms such as meningitis (translator's note: I started just by meningitis that ISCMSP treated as influenza ().

These symptoms typically appear a few days or weeks after Contact with the virus (HIV) and may persist for a period of two to four weeks, although the swollen glands can last longer.

However, some people may not have symptoms of any kind, or try them imperceptibly and, therefore, it is imperative that you take the exam for the detection of HIV whenever you have gone through a onere situation, free will or forced (the) you may have adopted some risky behavior - Remember. Health professionals do not expect you to be a saint or a saint, many of them already have, within their families, people living with HIV or AIDS

Although many people with primary HIV infection seek medical attention for their symptoms, the diagnosis is often missed because of the similarity with other diseases.

Very few people with these symptoms go to a clinic for sexual health and seek an HIV test.

However, efforts are underway to increase HIV testing rates. Groups of people at high risk for HIV (in particular African and gay men) should be encouraged to go to a Guidance and Counseling Center Serologic -COAS- to take an HIV test when they are seen by a doctor or other health professional when they have symptoms of primary HIV infection.

During this period HIV test


After infection with HIV, it is possible for months have passed until the body to generate immune cells that can recognize infected cells producing HIV or antibodies against HIV. The time period that the organism takes to produce defense against HIV is called seroconversion. Before that, every HIV test, regardless of the efficiency of the same, always result negative.

During primary infection by HIV, or suspected of it, other forms of testing may be used to detect the presence of the virus (or an antigen). Such tests respond to a specific protein of HIV, although when HIV becomes fully established in the body protein will fade to undetectable levels, and the test will be inaccurate. Tests that detect the genetic material of HIV can identify HIV in blood within one week of infection and continue to function after seroconversion.

In the UK most clinical of clinical care to sexual health will play KIT combining both tests in an attempt to get the most accurate results possible. These tests are known generally as fourth generation tests.

IF you are concerned about the possibility of having had contact intimate or close to someone who might be HIV positive, DO NOT LOSE TIME, talk to your doctor or trusted doctor, look for a COAS, go to an AMA or equivalent in your city such as UBS and test to detect HIV. If the risk you run is also within the last 72 hours, you or he (a) should discuss the viability or not to hold a clamoring treatmentpost-exposure prophylaxis (PEP) or would not be appropriate for your situation

Treatment in primary infection

In the United Kingdom, it is recommended that treatment for HIV infection begin when the CD4 cell count reaches a count of 350 cells per milliliter of blood, however in Brazil the rules are different and the order is to start as soon as it is taken knowledge. One of the brochures in our illustrated series, The Basics, is designed to help support a conversation about the issues. Its called very recent infection and you can find it on our website at thebasics

. Some studies have even the suggestion that prolonged treatment in these circumstances has had the peculiarity of making not only reach CD4 count reaches these thresholds and also its natural ability to control and fight against HIV. Moreover, it is not known to say how will evolve the disease and there is not even a prediction that when a patient makes prolonged treatment Going forward, other studies have failed to succeed when trying to get the same therapeutic results, and therefore there is no base scientifically proven that it can give approval to this "treatment".

So far the only right thing to do is to treat, according to current protocols, post infection therapy if:

If you have any AIDS-defining illness

  • If your nervous system (brain, cervical spine or nerves) are affected by HIV.
  • If you have a CD4 count below 350

Translator's Note: I, myself, going through a thorough research on HIV and my nervous system and although I have a CD4 count above 1.000 and an undetectable viral load for at least ten years, my infectious me sent to neurologist to investigate what "could be * that dark spot in my resonance that no one had noticed it until now (...).

Note, however, that treatment decisions must be taken case by case, always According to the general conditions of the patient, including also the possibility donates person concerned has the possibility to take them without gear personal problems and it must be done with based on dialogue with your doctor.


Because of the extremely high viral load that occurs in the early stages of HIV infection is to take into account that unprotected sex is impractical hypothesis from the perspective medical and optical ethics.

Safe sex, which usually include preservatives (condoms), is particularly important to reduce the HIV infection. Treatment for HIV deducts personal health risks and also the infectivity of it. If you are concerned about the possibility of transmitting HIV to their partners, it should be also one of its arguments before your doctor about taking antiretroviral drugs still in primary infection.
Editor's Note Soropositivo Web Site:

Maybe u find a big mess I "spend time and burn mufa to translate this text and yet it is not.

el guapoI know hundreds of people who come to me here on the net, with the aim of whether it may or may not have HIV. Most of them, when I say that the only way to learn is by doing the exam, refuse peremptorily to do so. And I consider this attitude a great nonsense and, from the perspective of this text comes to seem a gesture of immense cowardice or indecisiveness, a subject that the more we advance in the production of texts, but I insist that people should get tested immediately . Finish reading, take a bath (if you have water in your home) or not, and go to a UBS or AMA, explain the situation; if you do not want the thing itself be parochial, go to the Emilio Ribas in Sao Paulo or the House of AIDS in Pine and take the exam

If you give positive vc receive emotional support and guidance that will help save not only your life, like the lives of their partners (unless, of course, that u only trance enemies ...).

Making quickly test vc brings you all the benefits indicated in the text like this:

"The basics, Is designed to help support a conversation about the issues. It's calledVery recent infectionand you can find it on our website at "

This link opens to a page in English, in the process of being translated.

As you say that pamphlet of the Ministry of Health in Brazil: Having AIDS is not good. Having not know is even worse ...


Imagine that you, like me, are HIV-positive. And? I have it for almost twenty years, I think there is a little bit more time and I'm well, thank you.

It was not this knowledge, and some of the doctors who treat me Hospital São Camilo would never have been able to save my life on numerous occasions. On the other hand, I know of people who, following the diagnosis in their lives, after the initial shock gave to them, the opportunity to rewrite their lives, even poetic forms, with a renewed spirit, like a new human being , better and more attuned to life than the previous one, who only thought of the things that would profit and immediate pleasure. Yes, it is true, is a bar to receive this result; when I received, 20 years ago, I got together, a prediction that I would have only six months and already completed twenty years! IF I had not found out my HIV status in those days, certainly the disease had progressed to AIDS, and would have been stricken by some opportunistic disease, I would have continued to have sex without a condom and only God could know how many other women I would have infected ....

in good

Take the test and get to eat your shoulders the weight of the doubt ...

Primary HIV infection

Michael Carter, Greta Hughson

Published: March 04 2013

Translation and editing Claudio Souza

Source: Aidsmap