Piette A M, Tusseau F, Chapman A
Presse Med. 1987 Feb 28;16(7):346-8.
Primary manifestations of HIV infection may present as a mononucleosis-like syndrome. Cases have also been reported where it presents with symptoms of encephalitis, meningitis or acute polyneuropathy. When no cause is found for such clinical symptoms, they should suggest the possibility of primary HIV infection even in a patient who is not at risk. HIV antibody will appear in the following weeks and serum studies should be done within the three months that follow. The patient should then be warned that he is contagious. Short term prognostic is usually good. But long term progosis remains uncertain.
HIV感染的主要表现可能呈现为单核细胞增多症样综合征。也有病例报告显示其表现为脑炎、脑膜炎或急性多发性神经病的症状。当此类临床症状找不到病因时,即使是没有感染风险的患者,也应考虑原发性HIV感染的可能性。HIV抗体将在接下来的几周内出现,应在随后的三个月内进行血清学检查。然后应告知患者其具有传染性。短期预后通常良好。但长期预后仍不确定。