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M94A3125.TXT
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1994-10-25
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Document 3125
DOCN M94A3125
TI Is HIV disease progression influenced by CMV co-infection? SEROCO Study
Group.
DT 9412
AU Salmon-Ceron D; Colasante U; Carre N; Deveau C; Persoz A; Rouzioux C;
Bucquet D; Service de Medecine Interne, Hopital Cochin 27, Paris,
France.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):148 (abstract no. PB0018). Unique
Identifier : AIDSLINE ICA10/94369450
AB OBJECTIVE: To determine whether CMV seropositivity or CMV seroconversion
accelerates HIV disease progression in a French cohort (SEROCO) of
non-hemophiliac HIV-infected adult patients with known date of
infection. METHODS: The date of HIV infection was the mid-point of a
maximum two years interval between HIV-/HIV+ serology, or the date of a
well documented HIV primary infection (n = 567). CMV infection (CMV+)
was defined by the presence of IgG antibodies at first visit (ELISA) and
CMV seroconversion (Sero-CMV) by the occurrence of CMV antibodies at a
biannual visit among initially negative patients (n = 83). Firstly, CMV+
(n = 501) were compared to persistently CMV negative patients (CMV-) (n
= 66). Secondly, Sero-CMV (n = 17) were compared to CMV-. End points
were the occurrences of CDC group IV manifestations, an AIDS-defining
illness or CD4+ count < 200/mm3. Cox model was used to quantify the
relative risk (RR) before and after adjustement for age at HIV infection
as a quantitative variable. RESULTS: After a mean time of 53 months
after HIV infection: TABULAR DATA, SEE ABSTRACT VOLUME. Adjusted for CMV
infection, influence of age was significant whatever was the end-point.
Using the Log-rank after adjustment for age no difference in disease
progression was shown between sero-CMV and CMV-, for stage IV (p =
0.56), occurrence of CD4+ < 200/mm3 (p = 0.80) and AIDS (p = 0.32).
DISCUSSION AND CONCLUSION: Although some previous studies, mainly on
haemophiliac patients, had led to inverse results, in this work,
involving a larger number of patients, co-infection with CMV does not
seem to influence significantly the HIV disease progression.
DE Acquired Immunodeficiency Syndrome/*PHYSIOPATHOLOGY Adult AIDS-Related
Opportunistic Infections/*PHYSIOPATHOLOGY Comparative Study
Cytomegalovirus Infections/COMPLICATIONS/*PHYSIOPATHOLOGY Human HIV
Seropositivity/*PHYSIOPATHOLOGY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).