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Pathology lecture and lessons of life for living a beautiful life.....
HUMAN IMMUNODEFICIENCY VIRUS (HIV)
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●LENTIVIRUS (slowly replicating RETROVIRUS) that causes the acquired immunodeficiency syndrome(AIDS)
●a/k/a---“ Slim’s disease “ ( d/t weight loss)
● Commonest secondary immunodeficiency disorder
● Most patients with HIV infection progress to AIDS after a chronic phase lasting from 7 to 10 years.
●Most common mode of spread --- (75% of all cases)Sexual contact ( most commonly from Male to female ).
● Risk of transmission with needle stick injury--- 0.3%.
● Commonest cause of AIDS in children --- Vertical transmission
● BLOOD BANK and HIV ( Harrison18/e page no - 1513 ):-
●Blood collected for transfusion is routinely screened for both HIV-1 and HIV-2
A) HIV transmission is by-------
1) whole blood
2) packed rbc
3) platelets
4) leucocytes
5) plasma
B) No-HIV -Transmission is seen with
( processing procedure will inactivate virus in all given products) ---
1) hyperimmune gammaglobulin
2) hepatitis B immune globulin
3) plasma derived hepatitis B vaccine
4) Rh0 immune globulin
■ HIV Epidemiology:-
● HIV-1 ---- most common type a/w AIDS in the United States, Europe, and Central Africa and India.
● HIV-2----- in West Africa and India.
● HIV-1 three subgroups
1) M(major)
2) O (outlier)
3) N (neither M nor O)
● Group M ( subtypes or clades ;A to K ) ----most common form worldwide
1) Subtype B --- most common in western Europe and United States
2) Subtype E --- most common in Thailand.
3) Subtype C (fastest-spreading type worldwide) --- most common in India, Ethiopia, and Southern Africa.
● Most common cause of AIDS in India--- HIV-1 group-M , Subtype-C.
■ life cycle of HIV:-
● HIV infects cells by using ---- CD4 molecule as receptor and various chemokine receptors as coreceptors.
● CD4 receptors are required for entry of HIV in Brain
a) macrophages /monocytes
b) dendritic cell
c) CD4T cells (worse affected cells)