TABLE 1.
No. of patients | 26 | |
---|---|---|
Gender | M/F | 15/11 |
Age at diagnosis of HIV-infection (years) | Median (limits) | 10 (1–20) |
Age at diagnosis of neurological complication (years) | Mean ± SD | 17.0 ± 2.12 |
HIV-1 transmission route | Parenteral (non-IDU) | 25 |
Vertical | 1 | |
CD4 count (lf/mm3) | Median (range) | 164 (1–738) |
Mean HIV RNA ± SD (log10 copies/mL) | Plasma | 3.86 ± 1.40 |
CSF | 3.07 ± 1.18 | |
History of exposure to ART | 20 | |
History of exposure to 3TC | 18 | |
On ART containing 3TC before the neurological complication | 15 | |
HBV markers | HBeAg positive | 13 of 22 tested |
HDV antibodies positive | 4 of 20 tested | |
HBV DNA plasma (IU/mL) mean ± SD | 4.7 ± 2.63*** | |
HBV DNA CSF (IU/mL) mean ± SD | 2.74 ± 1.33*** | |
Positive HBV DNA (>60 IU/mL) | Plasma | 18 patients |
CSF | 11 patients | |
HBV DNA log10 IU/mL in patients exposed to 3TC before lumbar puncture (n = 15) | Mean Plasma values | 3.57 ± 2.10** |
Mean CSF values | 2.16 ± 0.92* | |
HBV DNA log10 IU/mL in patients not exposed to 3TC before lumbar puncture (n = 11) | Mean Plasma values | 6.26 ± 2.55** |
Mean CSF values | 3.54 ± 1.42* |
p < 0.01;
p 0,007;
p 0.0001.
Abbreviations: 3TC, lamivudine; ART, antiretroviral treatment; CSF, cerebrospinal fluid; HbeAg, hepatitis B e antigen; HBV, hepatitis B virus; HDV, hepatitis D virus; HIV, human immunodeficiency virus; IDU, intravenous drug user.