Selective causes of fever in adult human immunodeficiency virus-infected patients relative to CD4+ cell counts

Fever is a common finding in the patient who is infected with the human immunodeficiency virus. As immunocompetence wanes, febrile episodes become more common, although the virus itself is seldom the cause of the fever. A thorough evaluation, based on the history and physical findings and directed b...

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Bibliographic Details
Published in:Archives of family medicine 1995-10, Vol.4 (10), p.879-884
Main Authors: Czachor, J S, Gleckman, R A
Format: Magazinearticle
Language:English
Subjects:
Acquired Immunodeficiency Syndrome - complications
Acquired Immunodeficiency Syndrome - immunology
AIDS/HIV
CD4 Lymphocyte Count
Fever - etiology
Fever - immunology
Fever - virology
HIV Infections - complications
HIV Infections - immunology
Humans
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Summary:Fever is a common finding in the patient who is infected with the human immunodeficiency virus. As immunocompetence wanes, febrile episodes become more common, although the virus itself is seldom the cause of the fever. A thorough evaluation, based on the history and physical findings and directed by the level of immunosuppression relative to the CD4+ cell count, provides the framework upon which an approach to this complex problem is based. Noninfectious causes of fever, for example, drug reactions or adverse effects or neoplasms, should be considered in the differential diagnosis. Finally, health care workers should discuss the diagnostic evaluation with the patient before starting the process, as some individuals may be reluctant to undergo such an investigation.
ISSN:1063-3987
DOI:10.1001/archfami.4.10.879