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AIDS
Dr. Yashika
Introduction
• Causative agent : Human Immunodeficiency Viruses (HIV)
• HIV belongs to retrovirus family (double stranded RNA).
Mode of transmission
• Sexual intercourse
• IV drug abusers
• Blood transfusion
• Use of contaminated needles
• Breastfeeding
• Perinatal transmission
Immunopathogenesis
Clinical latency
Immune response to HIV
Acute syndrome
Primary infection
3 – 6 weeks
1 week – 3 months
1 – 2 weeks
7 – 10 years
Immunological Markers
• CD4 T lymphocyte count
• RT-PCR
• Raised P-24 antigen titre
• Raised serum β2 microglobulin
Clinical Presentation
• Development of Ab marks the stage of seroconversion
aka flu-like syndrome.
• Acute infection syndrome characterized by fever, skin
rash, arthralgia, lymphadenopathy and diarrhoea. This
is called seroconversion illness lasts upto 2-3 weeks and
gets resolved itself spontaneously.
Gynaecological Symptoms
• Infections of genital tract.
• Neoplasm of genital tract.
• Menstrual abnormalities.
• Fertility and pregnancy are not affected.
Diagnosis
• Detection of IgG antibody.
• ELISA
• Western blot
• PCR
Treatment
Preventive
• Safer sex
• Male circumcision
• HIV negative blood
transfusion
• Termination of pregnancy
• Avoid breastfeeding
Definitive
• Antiretroviral therapy
• Nucleoside Reverse
Transcriptase Inhibitors
• Non Nucleoside Reverse
Transcriptase Inhibitors
• Protease Inhibitors

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