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HIV/AIDS Diagnostics: C-reactive protein monitors intercurrent infection in HIV-1-infected patients

AIDSWEEKLY Plus; Monday, October 3, 2005
Staff Medical Writers


NewsRx -- C-reactive protein is useful for monitoring intercurrent infection in HIV-1-infected patients.

"The acute-phase protein C-reactive protein (CRP) is a sensitive marker of inflammation and tissue damage. We measured CRP in 109 HIV-1 antibody-positive patients admitted to hospital for investigation," researchers in United Kingdom report.

"In 67 patients with intercurrent infection (of whom 27 were afebrile at presentation) CRP levels were 2.2-483.5 mg/dL (normal value in the general population <3 mg/dL) and in 42 patients with alternative noninfection diagnoses CRP levels were 0.5-108.6 (median=5.9) mg/dL.

"Whereas in those with infections," M. Noursadeghi and colleagues at the University College London wrote, "elevated CRP levels fell in response to specific therapy, values remained abnormal in those with noninfection diagnoses."

The authors concluded, "CRP appears useful for diagnosis and monitoring of intercurrent infection in HIV-1 antibody-positive patients.

"In HIV-1 antibody-positive patients without intercurrent infection, CRP values higher than in the general population possibly reflect a sustained acute-phase response as a consequence of HIV infection per se."

Noursadeghi and colleagues published their study in International Journal of STD & AIDS (Clinical value of C-reactive protein measurements in HIV-positive patients. Int J STD AIDS. 2005 Jun;16(6):438-41.

For additional information, contact M. Noursadeghi, University of College London Hospitals Trust, Patrick Manson Unit, London, United Kingdom.

Publisher contact information for the International Journal of STD & AIDS is: Royal Society Medicine Press Ltd., 1 Wimpole Street, London W1G 0AE, England.

Keywords: London, United Kingdom, HIV/AIDS, C-Reactive Protein, Intercurrent HIV-1 Infection, Prognostic Indicator, HAART.

This article was prepared by AIDS Weekly editors from staff and other reports.

Reference

Noursadeghi M, Miller RF. Clinical value of C-reactive protein measurements in HIV-positive patients, Int J STD AIDS. 2005 Jun;16(6):438-41.

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