Discussion
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation
 

The Course of Events of the Infected CD4+ Cells

Following initial incorporation into the host cell genome, the viral DNA remains inactive.

New virus production begins when the infected host cell is 

  • activated by exposure to an antigen, or
  • stimulated by a cytokine
For an AIDS patient during the period of active infection,
  • Approximately 100 billion new viruses are made each day.
  • 1 to 2 billion CD4+ T cells die each day.
  • CD4+ T cell production proceeds, but cannot keep up with loss of the viral infected cells
  • Loss of "memory" T cells early in the course of the illness substantially effects the patient's response to various classes of infectious agents.
  • Infected macrophages appear less susceptible to cytopathic effects of the HIV virus, although macrophages make large numbers of the virus particles
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