Sunday, January 27, 2013

Early Signs of HIV Infection (Primary HIV Infection)


A lot of people have been sending emails asking if they have HIV based on signs and symptoms that they are experiencing. Because of this, we would like to discuss the early signs of HIV Infection or what is usually referred to as Primary HIV Infection.
What is Primary HIV Infection?

As early as 2 to 4 weeks, but sometimes up to 3 months after exposure to HIV people can experience an acute illness closely resembling a severe case of the flu.  This is called Acute Retroviral Syndrome (ARS) or Primary HIV Infection.  It is the body’s natural response to HIV infection. During the initial period of infection, HIV replication is very rapid.  As the level of HIV in the blood rises, it begins to attack the immune system, catching it off guard and weakening it to the point of causing symptoms. Some symptoms of HIV infection are similar to symptoms of many other common illnesses, such as the flu, or respiratory or gastrointestinal infections.  Because of the nonspecific nature of these symptoms, they are often not recognized as signs of HIV infection.  Also, many people who are HIV positive do not have any symptoms of HIV infection.  Often people only begin to feel sick when they progress towards AIDS.   Sometimes people living with HIV go through periods of being sick and then feel fine. Regardless of this, during Primary HIV Infection, there are higher levels of virus circulating in the blood, semen and vaginal fluids.  This means that people can more easily transmit the virus to others.

So what are the most common symptoms of primary HIV infection?

1)  Fever/Night sweats.  These occur without exercise and occur primarily, though not always, while sleeping.  They can be very profuse; soaking bedclothes, sheets and blankets.

2)  Rash.  These can occur anywhere on the body and may vary in appearance.  However, they often appear as generally reddish or brown in color.  They are normally small and slightly raised and can be sore or itchy.  In individuals with light skin, they may appear red or brown.  In those with dark skin, they can be dark brown or black.  Primarily the rash develops on the face, hands, feet and trunk. Occasionally, it can appear in the genital area and the anus as well.

3)  Swollen lymph nodes. Lymph nodes are small, bean-sized organs of the immune system distributed widely throughout the body.  Lymph fluid collects foreign substances throughout the body and is filtered through the lymph nodes where the immune system can rid those foreign substances from the body.  As lymphatic fluid passes through the lymph nodes, immune system cells and fluid remain, causing the lymph nodes to swell, often times to many times their size. Viral illnesses, such as HIV, can cause generalized swelling of lymph nodes all over the body.  They are most easily detected when they are swollen are more easily located near the surface; under the armpits, around the groin, the chest and the neck.

4)  Unusual discharges from the Penis, Vagina or Anus, any unusual spots, tingling sensations or eruptions in these areas, or a burning sensation while urinating.  These are often the symptoms associated with a variety of Sexually Transmitted Infections (STIs), other than HIV. However, people who are infected with HIV may also have these as co-infections.   If this is the case, these symptoms will appear more strongly.  Due to the weakened immune system caused by HIV, they often progress rapidly and can have very serious health consequences for the HIV+ person. They also make that person more infectious and thus more likely to transmit HIV to others.

5)  Sore throat

6)  Mouth ulcers

7)  Muscle aches and joint Pain

8)  Chills

9)   Fatigue

10)  Headache 

11)  Diarrhea                                                                                                  
  
How can I tell for certain that I am suffering from Primary HIV Infection?

The only way to be certain is to undergo an HIV test.  

Most of these tests test for the presence of antibodies to HIV in the blood.  Basically everyone should make testing for HIV a normal part of their annual medical checkup.  If you have come been in a situation whereby the blood, semen or vaginal fluid of another person has come into contact with any cuts, sores or breaks in the skin; or through mucus membranes such as those found in the anus or vagina; or through direct injection, then you should undergo an HIV test.

Why is Identifying Primary HIV Infection Important?

First and foremost, an early diagnosis of HIV provides the first opportunity to appropriately counsel patients in regard to preventing the spread of the disease. Being unaware of an HIV infection increases the possibility of an infected person unknowingly spreading the disease to others by way of unsafe sexual practices or the sharing of needles. In addition, an early diagnosis allows early medical intervention that has been shown to be a positive influence on the course of HIV throughout a person's lifetime.

Secondly, Primary HIV Infection represents a brief opportunity to control the dissemination of HIV throughout the body. This early spread of the virus greatly affects the course of the disease and sets immune system damage into motion. One school of thought is that early intervention with antiretroviral medications can limit the initial spread of HIV, thus allowing the body's immune system to stay healthier longer and therefore remaining better able to fight the disease.  

I hope readers have found this blog entry helpful.

Credits:  http://www.poz.com/archive/2008_Mar_2168.shtml
                http://www.aidsmap.com/Primary-infection/page/1044761/
                http://www.thebody.com/content/art2722.html
                http://www.buzzle.com/articles/acute-hiv-rash.html

Get tested, stay healthy and, if you're on ARV, compliant with your ARV regimen.


Malcolm Brown
International Contributor






"WE ARE ALL IN THIS TOGETHER.
NO PLHIV is alone with his or her struggle with HIV!"

-Pozziepinoy-






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