OverviewHuman immunodeficiency virus, or HIV, infection damages the body's immune system. Over time, it leads to acquired immune deficiency syndrome, or AIDS.
What is going on in the body?HIV affects the immune system in broad and devastating ways. Its main target is a special immune system cell called the CD4+ T lymphocyte. These cells help the body fight infections of all kinds. When HIV infects these cells, it decreases their numbers and affects how the cells that are left function.
After an adult is infected with HIV, he or she usually has no obvious symptoms for 5 to 10 years. During this time, however, the virus is slowly attacking the immune system. When the immune system is weakened enough, it becomes susceptible to other organisms that the body can usually fight off or keep under control. These other organisms include bacteria, other viruses, fungi, and parasites.
Many serious health problems occur as a result of the immune system damage caused by HIV. The most serious is AIDS.
What are the signs and symptoms of the disease?Following are some of the signs and symptoms of HIV infection:
• altered mental status
• cough
• depression, often with suicidal
thoughts
• eye problems, such as blurred vision or floaters
• fatigue
• fever
• headache
• night sweats
• rashes
• shortness of breath, especially with exertion
• weight loss
in adults or failure to thrive
in children
People infected with HIV often have other infections because of their weakened immune system. These infections may include:
• infections with unusual organisms
• recurring or ongoing upper respiratory tract infections, such as colds or tonsillitis, in children
• recurring yeast infections
in women
What are the causes and risks of the disease?
HIV infection is caused by a type of virus known as a lentivirus. Seventy percent of HIV infections worldwide are sexually transmitted, or spread by sexual contact. The remaining 30% of the infections are spread in one of the following ways: by contact with HIV-infected blood or other secretions at the site of a cut or wound
by skin punctures from needles or other sharp devices contaminated with HIV-infected blood or other body secretions
from contaminated blood products received before March 1985, when a screening test for HIV in blood products was first used
from mother to infant around the time of birth
through breastfeeding
What can be done to prevent the disease?
Although practicing safer sex
cannot completely protect a person from HIV, it can lower the risk. Condoms help prevent passing along the virus. Research in laboratories has shown that a spermicide called nonoxynol-9 kills or stops the growth of HIV. However, there are not
yet any studies that prove spermicides prevent HIV infection in humans. Some experts do believe that using spermicide on a condom or putting it into the vagina can kill some HIV organisms before they can infect the woman. It is safest to avoid sexual intercourse with people who have HIV infection or unknown HIV status and those who use IV drugs.
How is the disease diagnosed?
The body produces antibodies to fight off HIV infection. HIV is usually diagnosed by blood tests called antibody titer tests. The enzyme immunoassay,
or EIA, is used as a screening test. If this test is positive, a HIV Western blot
test is done to confirm the diagnosis. The virus can also be detected by testing for viral proteins and by doing blood cultures. Other tests may be ordered to help diagnose complications of HIV infection, such as pneumonia.
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