HIV infection
Infectio HIV · Infekce HIV
What it is
The virus destroys CD4 T cells; treated early, life expectancy is now near normal.
Symptoms & signs
- Flu-like seroconversion illness
- then years of silence
- later: weight loss, thrush, night sweats, opportunistic infection
🚩 Get help if…
- call 112 / 911 now Severe headache, stiff neck, confusion or a seizure
- call 112 / 911 now Breathless at rest or on minimal effort
- see a doctor soon Possible exposure in the last 72 hours (prevention pills work)
- see a doctor soon Fever, night sweats or weight loss lasting weeks
Where it strikes
Medical treatment
- Single-tablet antiretroviral therapy for life
- treat-as-prevention (undetectable = untransmittable)
- PrEP for those at risk
- opportunistic infection prophylaxis
- long-acting injectables — cabotegravir with rilpivirine every 1–2 months for treatment; cabotegravir or twice-yearly lenacapavir for PrEP — approved (FDA, EMA)
Natural & lifestyle
- Adherence support
- vaccination
- smoking cessation
- mental-health and cardiovascular care
Emerging & experimental
- Broadly neutralising antibodies
- shock-and-kill cure strategies
- CCR5-edited stem cells
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Multivitamins in untreated HIV — slowed progression in Tanzanian trials before antiretrovirals mixed evidence
- Selenium — a trial slowed the fall in CD4 cells early / small studies
- Herbal 'cures' in place of antiretrovirals — tried as policy in South Africa; an estimated 300 000 lives lost not confirmed in trials
ICD codes
- ICD-10 B24
- ICD-11 1C62.Z Human immunodeficiency virus disease without mention of tuberculosis or malaria, clinical stage unspecified