[Infections with human immunodeficiency viruses. Part I: pathogens, epidemiology, and clinical presentation]

Med Monatsschr Pharm. 2011 Jun;34(6):190-8; quiz 199-200.
[Article in German]

Abstract

Human immunodeficiency viruses 1 (HIV-1) and 2 (HIV-2) are single-stranded, enveloped ribonucleic acid viruses of the retrovirus family (retroviridae). They are transmitted by unprotected sexual intercourse, the inoculation of HIV-contaminated blood into the bloodstream and from mother to child via the prenatal, perinatal and postnatal route (in breast-feeding women). In contrast to infections with HIV-2, HIV-1 infections are frequently distributed worldwide and belong to the most common severe infections in humans. 90% of all HIV-1 infected people, however, live in less developed countries, e.g., numerous areas in South and Eastern Africa. Without an appropriate antiretroviral treatment, HIV-1 infections lead after a perennial, individual-dependent period to a state of generalized low immunity (acquired immunodeficiency syndrome, AIDS), resulting in the establishment of several illnesses due to a wide range of opportunistic pathogens. In several less developed regions, these so-called AIDS-defining diseases still represent one of the most frequent causes of death.

Publication types

  • Review

MeSH terms

  • Africa, Eastern / epidemiology
  • Anti-HIV Agents
  • Developing Countries
  • Female
  • HIV Infections / diagnosis
  • HIV Infections / drug therapy
  • HIV Infections / epidemiology*
  • HIV Infections / transmission
  • HIV Infections / virology*
  • HIV-1 / classification
  • HIV-1 / pathogenicity*
  • HIV-2 / classification
  • HIV-2 / pathogenicity*
  • Humans
  • Infant, Newborn
  • Male
  • Pregnancy
  • Sexually Transmitted Diseases
  • Transfusion Reaction
  • Virus Replication

Substances

  • Anti-HIV Agents