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.