Evidence map›Paper›PMID 27793107›Full record

ArticleBMC infectious diseases2016

Acute HIV infection presenting as hemophagocytic syndrome with an unusual serological and virological response to ART.

Rita Veiga Ferraz, Ana Cláudia Carvalho, Fernando Araújo, Carmo Koch, Cândida Abreu, António Sarmento

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Cytokine Storm Syndrome as a Manifestation of Primary HIV Infection.Advances in experimental medicine and biology · 2024
    Review
  3. Review
  4. Article
  5. Article
  6. Histoplasmosis-Associated Hemophagocytic Lymphohistiocytosis: A Review of the Literature.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2019
    Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Rita Veiga FerrazInfectious Diseases Department, Centro Hospitalar de São João, Alameda Prof. Hernâni Monteiro, Porto, Portugal. ferrazrit@gmail.com.
Ana Cláudia CarvalhoInfectious Diseases Department, Centro Hospitalar de São João, Alameda Prof. Hernâni Monteiro, Porto, Portugal.
Fernando AraújoTransfusion Medicine and Hematology Department, Centro Hospitalar de São João, Porto, Portugal.
Carmo KochTransfusion Medicine and Hematology Department, Centro Hospitalar de São João, Porto, Portugal.
Cândida AbreuInfectious Diseases Department, Centro Hospitalar de São João, Alameda Prof. Hernâni Monteiro, Porto, Portugal.
António SarmentoInfectious Diseases Department, Centro Hospitalar de São João, Alameda Prof. Hernâni Monteiro, Porto, Portugal.
Hospital de São João · PTInstituto Nacional de Engenharia Biomédicai3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHIV clinical presentation in the acute stage is variable and some of its virological and immunological aspects are not completely understood. Most cases of HIV- associated reactive hemophagocytic syndrome have been reported in patients with advanced stages of HIV and to our knowledge, there are only 8 cases in the English literature presenting during acute HIV infection, most in East Asia, being this the first case in a European patient. CASE PRESENTATION: We report a case of a European Caucasian 27- year old woman with a primary HIV- infection presenting with extremely low CD4+ T cell count who developed a haemophagocytic syndrome after starting ART and in whom we documented a very unusual serological and virological response, characterized by an impaired HIV- antibody production and a 12 month time frame to reach an undetectable viral load, despite no evidence of resistance.

conclusionsThis case report apart from describing an unusual clinical presentation of an acute HIV infection as hemophagocytic syndrome provides useful information that might contribute for understanding some subtle issues in acute HIV infection, namely the dynamics of virological and immunological aspects after antiretroviral therapy initiation.

Indexed as

AdultAnti-HIV AgentsCD4 Lymphocyte CountCD4-Positive T-LymphocytesFemaleHIV InfectionsHumansLymphohistiocytosis, HemophagocyticTime FactorsViral LoadAnti-HIV AgentsAcute infectionHaemophagocytic syndromeHIV

Identifiers

PMID27793107
PMCPMC5086040
OpenAlexW2541690679

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.