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Effects of HIV What happens to the body

6/17/2020
Effects of HIV: What happens to the body?
What are the effects of HIV on the
body?
Medically reviewed by Timothy J. Legg, Ph.D., CRNP — Written by Silvana Montoya on
March 15, 2017
Early effects
Effects on the immune system
Effects of medication
When a person first contracts HIV, the virus will affect their
body in several stages. If left untreated, HIV is likely to
lead to AIDS.
Due to medical advances over the last 30 years, the development of HIV
can be significantly reduced or stalled. With lifelong medication, a person
with HIV is usually able to lead a healthy life, and, in many cases, will
never develop AIDS itself.
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Early effects
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Effects of HIV: What happens to the body?
Flu-like symptoms may appear within the first 2-6 weeks of an HIV infection as the
immune system fights the infection.
The first signs of HIV usually appear after 2-6 weeks in the form of flu-like
symptoms. This condition is known as seroconversion illness.
Seroconversion is the stage when a person’s body is producing
antibodies to HIV, which means that their immune system is fighting the
infection.
Flu-like symptoms that accompany seroconversion include:
fever
skin rash
sore throat
swollen glands
joint or muscle pain
These symptoms usually last for 1-2 weeks. Once the seroconversion
period is over, a person may not experience any HIV symptoms for
several years.
Although people tend to feel well at this stage, it is important to
remember that HIV is still active. As it continues to reproduce and infect
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new cells, HIV also
damages a person’s immune system, which means it
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is unable to protect the body from illness.
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Effects of HIV: What happens to the body?
Effects on the immune system
HIV infects
a cell
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the host cells, HIV multiplies. The virus damages or destroys
the cells before moving on to infect more cells.
A CD4 count is an indication of the health of a person’s immune system. A
healthy CD4 count is between 500 and 1,500.
T cells or CD4 cells are a crucial part of the body’s immune system that HIV will infect and
destroy.
The CD4 count of a person with HIV who does not receive HIV treatment
will reduce over time. Once the CD4 levels fall below 200, a person’s
immune system will probably be damaged and the person will likely
experience definitive signs and symptoms of illness.
People who have HIV and are not receiving treatment put themselves at
greater risk of developing symptoms, a condition known as symptomatic
HIV. They are also more likely to pass on the virus to another person.
Without treatment, a person is likely to develop AIDS because their
immune system is no longer able to protect the body. At this stage, even
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Effects of HIV: What happens to the body?
Opportunistic infections and AIDS-defining illnesses
A person with HIV may also become ill from opportunistic infections. They
are called opportunistic because they take advantage of the weakened
immune system.
Opportunistic infections are usually caused by ordinary, harmless viruses,
bacteria, and fungi, which only provoke disease when the immune system
is compromised. Many of these infections are not life-threatening to a
healthy person. To someone with HIV, however, they can be very serious
and potentially fatal.
An opportunistic infection is considered to be AIDS-defining when it
spreads beyond the region or organ where it is typically found.
Some of the more common opportunistic infections are:
pneumonia
tuberculosis
certain cancers, such as Kaposi’s sarcoma
thrush
cytomegalovirus
toxoplasmosis
cryptococcal meningitis
Coinfections
Many people with HIV develop coinfections, diseases that can both have
an effect on HIV and be affected by HIV.
Tuberculosis and hepatitis are the most common HIV coinfections.
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Effects of HIV: What happens to the body?
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Effects of medication
Side effects from ART drugs may include nausea, rashes, and headaches.
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Effects of HIV: What happens to the body?
Although there is no cure for HIV, medical treatment is available that
significantly reduces the amount of the virus in the body to the point
where it may become undetectable in the blood.
The amount of virus in a person’s body is known as the viral load. An
undetectable viral load means that the person with HIV is not infectious
and that the virus is not able to damage their immune system.
HIV treatment is known as antiretroviral therapy (ART). It is recommended
that everyone who is diagnosed with HIV begins treatment straight away,
no matter what their CD4 count may be.
Treatment for HIV is also referred to as combination therapy as people
will usually take a combination of three different drugs at the same time.
Combination therapy is used because HIV can adapt quickly and become
resistant to a single type of ART.
A “fixed dose combination” is when ART drugs have been combined into
a single pill, which means that a person can take just 1 or 2 pills a day. It is
very important that people take the drugs in the right way at the right time
each day.
People with HIV may experience side effects from their ART drugs. The
most common side effects are:
headache
tiredness
diarrhea
nausea or vomiting
rash
high blood sugar levels
high cholesterol
When undergoing ART, a person needs to be aware that their medication
may interact with other prescription medications as well as herbal
remedies and recreational drugs.
Other possible adverse
effects include:
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anemia
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Effects of HIV: What happens to the body?
hepatitis
poor kidney function
inflamed pancreas
glucose intolerance
A person taking ART drugs may find they experience metabolic effects,
such as fat redistribution, hyperlipidemia, and insulin resistance. They may
also develop conditions, such as osteopenia and osteoporosis, that will
affect their bones.
Despite these problems, there is evidence now of the long-term safety of
ART, which has significantly improved the life expectancy of many people
with HIV.
Last medically reviewed on March 15, 2017
HIV and AIDS
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Immune System / Vaccines
Infectious Diseases / Bacteria / Viruses
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