Article ; Online: Seronegative HIV-1 infection in a Japanese man presenting with Pneumocystis pneumonia: Analysis of long-term antibody response and literature review.
Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy
2024
Abstract: Seronegative human immunodeficiency virus (HIV) infection, where an HIV-specific antibody response is lacking even in chronic or late-stage HIV infections, is extremely rare. Here, we report the case of a 50-year-old Japanese man presenting with ... ...
Abstract | Seronegative human immunodeficiency virus (HIV) infection, where an HIV-specific antibody response is lacking even in chronic or late-stage HIV infections, is extremely rare. Here, we report the case of a 50-year-old Japanese man presenting with Pneumocystis pneumonia who did not produce antibodies against HIV-1 until the initiation of antiretroviral therapy (ART). Fourth-generation antigen-antibody testing temporarily reverted from weakly positive to negative soon after initiating ART, likely due to a reduction in viral load (assessed by p24 antigen levels). His HIV-1 antibody titers remained low or indeterminate even after four years of ART. A literature review suggested that the absence of HIV-1-specific antibody production may be associated with unimpeded HIV replication and rapid CD4 |
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Language | English |
Publishing date | 2024-02-06 |
Publishing country | Netherlands |
Document type | Case Reports |
ZDB-ID | 1355399-9 |
ISSN | 1437-7780 ; 1341-321X |
ISSN (online) | 1437-7780 |
ISSN | 1341-321X |
DOI | 10.1016/j.jiac.2024.02.005 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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