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HIV and SARS-Cov-2 Co-Infection: A Local Perspective
Heval Can Bilek1, Aydın Deveci1
1Department of Infectious Diseases and Clinical Microbiology, Ondokuz Mayıs University School of Medicine, Samsun, Turkey.
Human immunodeficiency virus (HIV) and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) co-infection did not worsen COVID-19 outcomes. HIV patients on antiretroviral therapy (ART) showed mild COVID-19, with no increased mortality.
Area of Science:
- Infectious Diseases
- Virology
- Immunology
Background:
- The COVID-19 pandemic caused by SARS-CoV-2 has impacted global health.
- Co-infection with HIV in SARS-CoV-2 positive patients raises concerns about clinical outcomes.
- Understanding the interplay between HIV and SARS-CoV-2 is crucial for patient management.
Purpose of the Study:
- To evaluate the clinical course of patients co-infected with HIV and SARS-CoV-2.
- To assess the impact of HIV on COVID-19 severity and mortality.
- To provide a local perspective on managing co-infected patients.
Main Methods:
- Retrospective analysis of HIV and SARS-CoV-2 co-infected patients.
- Data collected from March 2020 to June 2021 at a tertiary hospital in Turkey.
- Inclusion of 30 co-infected patients, analyzing demographics, HIV status, ART, and COVID-19 outcomes.
Main Results:
- The majority of co-infected patients (27/30) experienced a mild course of COVID-19.
- Three patients were hospitalized, two of whom were ART-naïve males and unfortunately died.
- All patients known to be HIV-positive were on ART and virologically suppressed, with no increased COVID-19 severity.
Conclusions:
- HIV infection alone did not increase the severity of COVID-19.
- HIV status and ART adherence did not significantly increase mortality in COVID-19 patients.
- ART-suppressed HIV patients exhibit similar COVID-19 clinical courses to the general population.
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