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Year : 2020  |  Volume : 9  |  Issue : 1  |  Page : 7-10

Clinical profile of people living with human immunodeficiency virus

Department of Medicine, Dr V. M. Govt. Medical College, Solapur, Maharashtra, India

Correspondence Address:
Shubhangi Vithal Dhadke
Associate Professor, Department of Medicine, Dr V. M. Government Medical College, Solapur 413 003, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JCSR.JCSR_59_19

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Background: Clinical manifestations in people living with human immunodeficiency virus infection (PLHIV) can be protean. Methods: We studied the clinical profile, neurological, cardiac manifestations and opportunistic infections (OIs) at the time of diagnosis in PLHIV at our medical college tertiary care teaching hospital in Solapur, Maharashtra, India. Results: Majority of patients (36%) were observed in the age group of 31-40 years. The mmost common presenting complaint was fever (65%), followed by anorexia (34%), weight loss (33%), cough (22%) and fatigue (21%). Diarrhoea and headache were seen in 15% and 13% of the patients, respectively. Most of the patients had weight between 31 and 40 kg and 41 and 50 kg (48% in each). On general physical examination pallor (63%), oral thrush (30.4%) were commonly seen. Genital lesions and icterus were seen in 4.3% and 2.1% of the patients, respectively. Majority (31%) of patients had CD4+ counts (/mm3) in the range 151 and 200. Most of the of patients (30%) had respiratory system involvement. Central nervous system (CNS) and gastrointestinal system manifestations were seen in 21% and 15% of the patients, respectively. Among infections tuberculosis (TB) was most common (46%) followed by Candidiasis (18%), Pneumocystis carinii pneumonia (PCP) (9.2%) and cryptococcosis (8.7%). Other infections seen were herpes (5.2%), Cryptosporidium parvum (3.9%), Isospora belli (2.6%), toxoplasmosis (2.6%), cytomegalovirus (CMV) (1.3%), hepatitis B (1.3%) and Epstein–Barr virus (1.3%). Conclusions: TB is a common cause of morbidity in PLHIV. They further merit careful evaluation for assessing involvement of various organ systems, OIs.

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