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2 Cards in this Set

  • Front
  • Back
25 year old, sexually active gay man presents to
his GP with a 10 day history of
– sore throat
– swollen lymph glands in his neck
– fevers and malaise
• He developed a maculo-papular rash on his
trunk, arms and legs in the past week
• Previously fit and well
Diferentials?
. HIV seroconversion
• Glandular fever (Epstein-Barr virus)
• Secondary syphilis
• Other infections
• CMV, Varicella, HSV
• Hepatitis, Rubella, Measles
• Toxoplasmosis, disseminated gonococcal infection
• Drug reaction
How is HIV seroconversion diagnosed?
Diagnosed on basis of:
– Symptoms
• flu-like illness, rash, lymphadenopathy,
CNS symptoms, hepato-splenomegaly
– Serology (HIV antibody testing)
– PCR (HIV antigen detection)