SARS-COV2 infection in 30 HIV-infected patients followed-up in a French University Hospital

• Published in: International journal of infectious diseases 2020-12, Vol.101, p.49-51
• Main Authors: Isernia, Valentina, Julia, Zelie, Le Gac, Sylvie, Bachelard, Antoine, Landman, Roland, Lariven, Sylvie, Joly, Véronique, Deconinck, Laurène, Rioux, Christophe, Lescure, Xavier, Yazdanpanah, Yazdan, Ghosn, Jade
• Format: Article
• Language: English
• Subjects: Adult; Aged; Aged, 80 and over; COVID-19 - etiology; Female; Follow-Up Studies; HIV Infections - complications; Hospitals, University; Humans; Life Sciences; Male; Middle Aged; SARS-CoV-2; Short Communication
• ISSN: 1201-9712; 1878-3511
• DOI: 10.1016/j.ijid.2020.09.1436

•An acute respiratory disease caused by a novel coronavirus (SARS-COV2) has been spreading from China since January 2020. Surprisingly, few cases of Covid-19 have been reported in people living with HIV (PLWHIV).•We present a series of 30 PLWHIV diagnosed with SARS-COV2 infection.•The most common comorbidities in our population were cardiovascular disease, hypertension, diabetes, obesity and chronic renal disease.•Mortality was 6,7%. Poorest outcomes and death were observed in patients with a high comorbidity score.•Most of the patients were virologically suppressed with CD4 > 500 mm3. Risk factors were the same as those described in other SARS-COV2 series, suggesting that HIV infection is probably not an independent risk factor for covid-19. An acute respiratory disease caused by a novel coronavirus (SARSCOV2) is spreading from China since January 2020. Surprisingly, few cases of Covid-19 have been reported in people living with HIV (PLWHIV). Here we present a series of 30 PLWHIV diagnosed for SARS-COV2 infection. The principal outcome was to describe clinical characteristics of this population. Eighteen (60%) patients were men, 10/30 (33,3%) women and 2/30 (6,7%) transgender women. Median age was 53,7 years (range 30–80 years) and 23/30 patients (76,7%) were born in a foreign country (out of France). The most common comorbidities were cardiovascular disease (11/30, 36,7%), hypertension (11/30, 36,7%), diabetes (9/30,30%) obesity (7/30, 23%) and chronic renal disease (5/30, 16,7%). Twenty (66,7%) patients presented overweight. Five patients (16,7%) had a Charlson comorbidity (Quan et al., 2011) score ≥3. Twenty-seven (90%) patients were virologically suppressed.CD4 count was >500cell/mm 3 in 23/30 (76,6%) patients. An antiviral treatment for SARS-COV2 was administered, in addition to HIV treatment, in 5/30 patients (16,3%). Twenty-four patients (80%) recovered from covid-19, 3/30 (10%) required invasive mechanical ventilation, 2/30 (6,7%) patients died and 4/30 (13,3%) patients were still hospitalized. Most of the patients were virologically suppressed with CD4>500 mm3. Risk factors were the same as those described in other SARS-COV2 series, suggesting that HIV infection is probably not an independent risk factor for covid-19.