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. 2002 Nov 23;325(7374):1225–1227.

Table.

Clinical details of patients with primary HIV infection

Case 1
Case 2
Case 3
Clinical features:
 At presentation Fever, headaches, confusion, rash (limbs), nausea Flu-like illness, headache, sore throat Flu-like illness, sore throat, nausea, diarrhoea
 Subsequent Obtunded, grand mal seizures Headaches, meningism, maculopapular rash, nausea, lymphadenopathy, oral ulcers Headache, meningism, generalised rash, lymphadenopathy
Time delay for diagnosis of infection* 3 days 8 days 9 days
Neurological diagnosis Meningoencephalitis Meningitis Meningitis

Patients had primary HIV infection with presence of anti-HIV immunoglobulin M antibodies (n=1) or evolving HIV specific antibody profile (n=2). All described febrile illness preceding onset of headaches. Three had had a rash (two had received antibiotics) and two had had upper respiratory tract symptoms. 

*

Calculated from day of initial presentation to day that first positive HIV test result was confirmed.