Initial Clinical Presentation and Laboratory Parameters of Indoor Hiv-Positive Patients

Aimen Sabir; Shazia  Nisar; Khalid Mahmood  Raja; Ayesha  Anwer; Marriam Hussain  Awan; Maria  Tariq

doi:10.51253/pafmj.v75iSUPPL-6.8198

Authors

Aimen Sabir Department of Medicine, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Shazia Nisar Department of Medicine, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Khalid Mahmood Raja Department of Nephrology, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Ayesha Anwer Department of Medicine, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Marriam Hussain Awan Department of Medicine, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Maria Tariq Department of Medicine, Combined Military Hospital Rawalpindi/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75iSUPPL-6.8198

Keywords:

Clinical profile; HIV; laboratory investigations

Abstract

Objective: To determine the pattern of the clinical presentation and laboratory parameters and factors associated with low CD-4 count among the patients hospitalized for initial presentation of human immune deficiency virus (HIV) in Pak Emirates Military Hospital.

Study Design: Case series

Place and Duration of Study: Pak Emirates Military Hospital Rawalpindi. From January 2019 to January 2020.

Methodology: A total of 60 cases were included in this study in liaison with other departments where the patients with initial presentation of HIV were admitted. Patients without any past history of HIV and diagnosed first time in current presentation by ELISA were included. Routine investigations along with CD-4 count and viral load were performed. Patients were screened for all the diseases and clinical conditions associated with HIV.

Results: Mean age of study participants was 39.4±4.81 years. 55 (91.7%) were males while 05(8.3%) were females. Thirty-nine (65.0%) patients had CD-4 count within range while 21(35.0%) had low CD-4 counts. Thirty-six (60.0%) had viral load in range while 24(40.0%) had high viral load. Chronic diarrhea was the commonest condition in our study sample followed by tuberculosis. Pearson chi-square analysis revealed that high viral load and presence of more than HIV related diseases were the factors strongly linked with the presence low CD-4 count among the HIV patients at their initial presentation.

Conclusion: Considerable number of patients presented with low CD 4 counts and high viral load at the initial presentation. Similarly, high number of patients had more than one HIV related clinical .......

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