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Previous Volume 353:1702-1710 October 20, 2005 Number 16 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

As part of a routine examination for insurance coverage, a 25-year-old previously healthy woman is found to have a positive test for human immunodeficiency virus type 1 (HIV-1) antibody. Heterosexual contact is her only risk factor for HIV acquisition. She is asymptomatic and has a normal physical examination. The results of hematologic and other routine laboratory tests are normal. Her CD4 cell . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Screening for HIV Infection

Testing and Counseling

Evaluation of the Patient

Prophylaxis against Opportunistic Infections

Initiation of Antiretroviral Therapy

Treatment Regimen

Areas of Uncertainty

Guidelines from Professional Societies

Conclusions and Recommendations

Source Information

From the Division of Infectious Diseases, Columbia University Medical Center, New York.

Address reprint requests to Dr. Hammer at the Division of Infectious Diseases, Columbia University Medical Center, 630 W. 168th St., PH 8 West, Room 876, New York, NY 10032, or at smh48@columbia.edu.

Related Letters:

Newly Diagnosed HIV Infection
Chin-Hong P. V., Hecht F. M., Klausner J. D., Hammer S. M.
Extract | Full Text | PDF  
N Engl J Med 2006; 354:771-772, Feb 16, 2006. Correspondence

This article has been cited by other articles:

• Kitkungvan, D., Apisarnthanarak, A., Plengpart, P., Mundy, L. M (2008). Fever of unknown origin in patients with HIV infection in Thailand: an observational study and review of the literature. Int J STD AIDS 19: 232-235 [Abstract] [Full Text]  
• Lehtovirta, P., Paavonen, J., Heikinheimo, O. (2008). Risk factors, diagnosis and prognosis of cervical intraepithelial neoplasia among HIV-infected women. Int J STD AIDS 19: 37-41 [Abstract] [Full Text]  
• Currier, J. S., Baden, L. R. (2006). Getting Smarter -- The Toxicity of Undertreated HIV Infection. NEJM 355: 2359-2361 [Full Text]  
• Hammer, S. M., Saag, M. S., Schechter, M., Montaner, J. S. G., Schooley, R. T., Jacobsen, D. M., Thompson, M. A., Carpenter, C. C. J., Fischl, M. A., Gazzard, B. G., Gatell, J. M., Hirsch, M. S., Katzenstein, D. A., Richman, D. D., Vella, S., Yeni, P. G., Volberding, P. A. (2006). Treatment for Adult HIV Infection: 2006 Recommendations of the International AIDS Society-USA Panel. JAMA 296: 827-843 [Abstract] [Full Text]  
• Fox, J, Weber, J, Fidler, S (2006). Primary HIV.. Sex. Transm. Infect. 82: 267-268 [Full Text]  
• Chin-Hong, P. V., Hecht, F. M., Klausner, J. D., Hammer, S. M. (2006). Newly Diagnosed HIV Infection. NEJM 354: 771-772 [Full Text]