Seventeen-year-old mother-to-child HIV type 1 transmission identified by phylogeny and signature patterns

Terese L Katzenstein1, Ann Berith Petersen, Louise Bruun Jørgensen

  • 1Department of Infectious Diseases, Rigshospitalet, Copenhagen, Denmark. terese.katzenstein@rh.regionh.dk

Insights

Phylogenetic analysis of pol, gag, and env sequences confirmed perinatal HIV transmission in a 17-year-old woman. This case highlights the utility of viral sequencing in diagnosing late-presenting HIV infections.

Area of Science:

  • Virology
  • Epidemiology
  • Genetics

Background:

  • Perinatal HIV transmission can lead to late diagnosis in adolescents.
  • Routine human immunodeficiency virus (HIV) resistance testing provides valuable genetic data.
  • Phylogenetic analysis is a powerful tool for tracing viral transmission pathways.

Observation:

  • A 17-year-old woman presented with a clinical suspicion of perinatal HIV transmission.
  • Sequences from routine HIV resistance testing (pol gene) were analyzed.
  • Further genetic analysis included the gag and env genes of the HIV genome.

Findings:

  • Phylogenetic analysis of the pol gene sequences supported the suspicion of perinatal HIV transmission.
  • Subsequent analyses of gag and env gene sequences further substantiated the transmission findings.
  • The genetic data provided strong evidence for the mother-to-child transmission of HIV.

Implications:

  • This case underscores the importance of considering perinatal HIV transmission in adolescents with unexplained symptoms.
  • Viral genetic sequencing, including resistance testing, can be crucial for diagnosing and confirming HIV transmission routes.
  • Early diagnosis and intervention are vital for improving health outcomes in individuals with HIV.

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