Source:http://linkedlifedata.com/resource/pubmed/id/11347664
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2001-5-11
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pubmed:abstractText |
The relationship between time of HIV-1 detection, appearance of symptoms and disease progression was studied in all 24 HIV-1-infected infants from a cohort of 117 children who were born to HIV-1-infected mothers and monitored from birth. HIV isolation from plasma and mononuclear cells, HIV-1 DNA PCR (polymerase chain reaction) and, retrospectively, a quantitative assay for HIV-1 RNA were used for virus detection. Two infants possibly exhibited a symptomatic primary HIV infection. More children with than without symptoms during the first year of life progressed to immunological class 3 (P=0.013) and to AIDS or death (P=0.003) during follow-up. HIV-1 was detected within 4 days of age in 4 of 16 infants: 3 of them became symptomatic within 1 year, as did 6 of the remaining 12 infants (not statistically significant). All four infants in whom virus was detected within 4 days of age progressed to severe immunosuppression, compared to 6 of 14 in whom the virus detection test was initially negative prior to the first positive result (n.s.). Two children with previous repeatedly negative HIV detection tests were diagnosed with HIV-1 infection at 8 and 9 months, respectively. Repeated blood sampling is needed for the diagnosis of HIV-1 infection in perinatally exposed infants, and virus detection tests for exclusion of HIV-1 infection must be used with caution.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0934-9723
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
20
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
159-66
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:11347664-Acquired Immunodeficiency Syndrome,
pubmed-meshheading:11347664-DNA, Viral,
pubmed-meshheading:11347664-Female,
pubmed-meshheading:11347664-HIV-1,
pubmed-meshheading:11347664-Humans,
pubmed-meshheading:11347664-Infant, Newborn,
pubmed-meshheading:11347664-Infectious Disease Transmission, Vertical,
pubmed-meshheading:11347664-Polymerase Chain Reaction,
pubmed-meshheading:11347664-Pregnancy,
pubmed-meshheading:11347664-Prospective Studies,
pubmed-meshheading:11347664-RNA, Viral,
pubmed-meshheading:11347664-Time Factors
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pubmed:year |
2001
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pubmed:articleTitle |
Broad spectrum of time of detection, primary symptoms and disease progression in infants with HIV-1 infection.
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pubmed:affiliation |
Department of Pediatrics, Huddinge University Hospital, Stockholm, Sweden. lars.naver@klinvet.ki.se
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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