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Clinical features of acute retroviral syndrome differ by route of infection but not by gender and age

Identifieur interne : 00B800 ( Main/Exploration ); précédent : 00B799; suivant : 00B801

Clinical features of acute retroviral syndrome differ by route of infection but not by gender and age

Auteurs : Philippe Vanhems [France] ; Jean-Pierre Routy [Canada] ; Bernard Hirschel [Suisse] ; Dominique Baratin [France] ; Samir Vora [Suisse] ; Janine Maenza [États-Unis] ; Andrew Carr [Australie] ; Christian Trepo [France] ; Jean-Louis Touraine [France] ; René-Pierre Gillibert [France] ; Ann C. Collier [États-Unis] ; David A. Cooper [Australie] ; Jeanette Vizzard [Australie] ; Rafick-Pierre Sekaly [Canada] ; Jacques Fabry [France] ; Luc Perrin [Suisse]

Source :

RBID : Pascal:03-0174231

Descripteurs français

English descriptors

Abstract

The rate of HIV disease progression is associated with the severity of the acute retroviral syndrome (ARS). We explored the clinical features of ARS by gender, age and route of infection among 378 individuals with documented ARS enrolled in 5 prospective cohort studies with similar enrollment criteria. No major differences were detected by gender or by age. Several symptoms were reported less frequently in the injecting drug users as compared with infection acquired through sexual contacts (either heterosexual or homosexual). This was observed in particular for fever (50% vs. 77%, p =.001), skin rash (21% vs. 51%, p =.001), pharyngitis (18% vs. 43%, p =.004), and myalgia (29% vs. 52%, p =.01). Genital ulcerations were present only in cases of sexual exposure to HIV. Injecting drug users had or reported symptoms associated with the ARS less frequently than persons acquiring HIV via sexual transmission.


Affiliations:


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Le document en format XML

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<name sortKey="Fabry, Jacques" sort="Fabry, Jacques" uniqKey="Fabry J" first="Jacques" last="Fabry">Jacques Fabry</name>
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<title xml:lang="en" level="a">Clinical features of acute retroviral syndrome differ by route of infection but not by gender and age</title>
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<name sortKey="Gillibert, Rene Pierre" sort="Gillibert, Rene Pierre" uniqKey="Gillibert R" first="René-Pierre" last="Gillibert">René-Pierre Gillibert</name>
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<name sortKey="Cooper, David A" sort="Cooper, David A" uniqKey="Cooper D" first="David A." last="Cooper">David A. Cooper</name>
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<name sortKey="Vizzard, Jeanette" sort="Vizzard, Jeanette" uniqKey="Vizzard J" first="Jeanette" last="Vizzard">Jeanette Vizzard</name>
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<country>Canada</country>
<placeName>
<settlement type="city">Montréal</settlement>
<region type="state">Québec</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Fabry, Jacques" sort="Fabry, Jacques" uniqKey="Fabry J" first="Jacques" last="Fabry">Jacques Fabry</name>
<affiliation wicri:level="3">
<inist:fA14 i1="01">
<s1>Laboratoire d'Epidemiologie et de Santé publique, and INSERM Unit 271, Université Claude Bernard, et Unité d'Epidémiologie, Hôpital Edouard Herriot</s1>
<s2>Lyon</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName>
<region type="region">Auvergne-Rhône-Alpes</region>
<region type="old region">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Perrin, Luc" sort="Perrin, Luc" uniqKey="Perrin L" first="Luc" last="Perrin">Luc Perrin</name>
<affiliation wicri:level="1">
<inist:fA14 i1="03">
<s1>Division of Infections Diseases, University Hospital</s1>
<s2>Geneva</s2>
<s3>CHE</s3>
<sZ>3 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Geneva</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j" type="main">Journal of acquired immune deficiency syndromes : (1999)</title>
<title level="j" type="abbreviated">J. acquir. immune defic. syndr. : (1999)</title>
<idno type="ISSN">1525-4135</idno>
<imprint>
<date when="2002">2002</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">Journal of acquired immune deficiency syndromes : (1999)</title>
<title level="j" type="abbreviated">J. acquir. immune defic. syndr. : (1999)</title>
<idno type="ISSN">1525-4135</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>AIDS</term>
<term>Acute</term>
<term>Disease development</term>
<term>Drug of abuse</term>
<term>Human</term>
<term>Human immunodeficiency virus</term>
<term>Infection modality</term>
<term>Intravenous administration</term>
<term>Risk taking</term>
<term>Sexual behavior</term>
<term>Symptomatology</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Homme</term>
<term>Virus immunodéficience humaine</term>
<term>Substance toxicomanogène</term>
<term>Développement maladie</term>
<term>Aigu</term>
<term>Mode infection</term>
<term>Prise risque</term>
<term>Symptomatologie</term>
<term>Comportement sexuel</term>
<term>Voie intraveineuse</term>
<term>SIDA</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">The rate of HIV disease progression is associated with the severity of the acute retroviral syndrome (ARS). We explored the clinical features of ARS by gender, age and route of infection among 378 individuals with documented ARS enrolled in 5 prospective cohort studies with similar enrollment criteria. No major differences were detected by gender or by age. Several symptoms were reported less frequently in the injecting drug users as compared with infection acquired through sexual contacts (either heterosexual or homosexual). This was observed in particular for fever (50% vs. 77%, p =.001), skin rash (21% vs. 51%, p =.001), pharyngitis (18% vs. 43%, p =.004), and myalgia (29% vs. 52%, p =.01). Genital ulcerations were present only in cases of sexual exposure to HIV. Injecting drug users had or reported symptoms associated with the ARS less frequently than persons acquiring HIV via sexual transmission.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Australie</li>
<li>Canada</li>
<li>France</li>
<li>Suisse</li>
<li>États-Unis</li>
</country>
<region>
<li>Auvergne-Rhône-Alpes</li>
<li>Nouvelle-Galles du Sud</li>
<li>Québec</li>
<li>Rhône-Alpes</li>
<li>Washington (État)</li>
</region>
<settlement>
<li>Lyon</li>
<li>Montréal</li>
<li>Sydney</li>
</settlement>
</list>
<tree>
<country name="France">
<region name="Auvergne-Rhône-Alpes">
<name sortKey="Vanhems, Philippe" sort="Vanhems, Philippe" uniqKey="Vanhems P" first="Philippe" last="Vanhems">Philippe Vanhems</name>
</region>
<name sortKey="Baratin, Dominique" sort="Baratin, Dominique" uniqKey="Baratin D" first="Dominique" last="Baratin">Dominique Baratin</name>
<name sortKey="Fabry, Jacques" sort="Fabry, Jacques" uniqKey="Fabry J" first="Jacques" last="Fabry">Jacques Fabry</name>
<name sortKey="Gillibert, Rene Pierre" sort="Gillibert, Rene Pierre" uniqKey="Gillibert R" first="René-Pierre" last="Gillibert">René-Pierre Gillibert</name>
<name sortKey="Touraine, Jean Louis" sort="Touraine, Jean Louis" uniqKey="Touraine J" first="Jean-Louis" last="Touraine">Jean-Louis Touraine</name>
<name sortKey="Trepo, Christian" sort="Trepo, Christian" uniqKey="Trepo C" first="Christian" last="Trepo">Christian Trepo</name>
</country>
<country name="Canada">
<region name="Québec">
<name sortKey="Routy, Jean Pierre" sort="Routy, Jean Pierre" uniqKey="Routy J" first="Jean-Pierre" last="Routy">Jean-Pierre Routy</name>
</region>
<name sortKey="Sekaly, Rafick Pierre" sort="Sekaly, Rafick Pierre" uniqKey="Sekaly R" first="Rafick-Pierre" last="Sekaly">Rafick-Pierre Sekaly</name>
</country>
<country name="Suisse">
<noRegion>
<name sortKey="Hirschel, Bernard" sort="Hirschel, Bernard" uniqKey="Hirschel B" first="Bernard" last="Hirschel">Bernard Hirschel</name>
</noRegion>
<name sortKey="Perrin, Luc" sort="Perrin, Luc" uniqKey="Perrin L" first="Luc" last="Perrin">Luc Perrin</name>
<name sortKey="Vora, Samir" sort="Vora, Samir" uniqKey="Vora S" first="Samir" last="Vora">Samir Vora</name>
</country>
<country name="États-Unis">
<region name="Washington (État)">
<name sortKey="Maenza, Janine" sort="Maenza, Janine" uniqKey="Maenza J" first="Janine" last="Maenza">Janine Maenza</name>
</region>
<name sortKey="Collier, Ann C" sort="Collier, Ann C" uniqKey="Collier A" first="Ann C." last="Collier">Ann C. Collier</name>
</country>
<country name="Australie">
<region name="Nouvelle-Galles du Sud">
<name sortKey="Carr, Andrew" sort="Carr, Andrew" uniqKey="Carr A" first="Andrew" last="Carr">Andrew Carr</name>
</region>
<name sortKey="Cooper, David A" sort="Cooper, David A" uniqKey="Cooper D" first="David A." last="Cooper">David A. Cooper</name>
<name sortKey="Vizzard, Jeanette" sort="Vizzard, Jeanette" uniqKey="Vizzard J" first="Jeanette" last="Vizzard">Jeanette Vizzard</name>
</country>
</tree>
</affiliations>
</record>

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