Misdiagnosis of HIV Infection

Josiah D. Rich; Eleftherios Mylonakis; Timothy P. Flanigan

doi:10.7326/0003-4819-131-7-199910050-00031

Letters |5 October 1999

Misdiagnosis of HIV Infection

Josiah D. Rich, MD, MPH; Eleftherios Mylonakis, MD; Timothy P. Flanigan, MD

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IN RESPONSE:

Dr. Palmas suggests that different levels of diagnostic sensitivity (1) could help minimize false-positive results. Prospective studies can evaluate this issue and quantify the frequency of misdiagnosis of HIV infection by HIV-1 plasma viral load testing. In the meantime, physicians should use caution in diagnosing HIV infection solely on the basis of a detectable HIV-1 plasma viral load. However, we continue to encourage efforts to rapidly and accurately diagnose acute HIV infection. This is a responsibility for all care providers, not just specialists in the field.

Goodman and colleagues describe the converse situation, in which an undetectable HIV-1...

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1999 American College of Physicians

Letters |5 October 1999

Misdiagnosis of HIV Infection

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