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Many develop serious opportunistic infections especially Pn.carrini pneumonia and Kaposi's sarcoma. Kaposi's sarcoma is a cancer of the walls of the blood vessels or lymphatic system. It usually appears as pink-to-purple spots on the skin. It can also occur internally. Kaposi's sarcoma can be fatal if it develops in certain sites such as the lungs.
Some HIV infected develop symptoms like diarrhoea, weight loss, candidiasis, fever and leucopaenia. Brain involvement occurs in a large number of infected patients. This can be in the form of Dementia, Psychosis, Encephalitis, Multiple cerebral abscess, Cerebral toxoplasmosis, Herpes encephalitis, Cerebral lymphomas, Kaposi's sarcoma, Stroke, Mylopathy, Neuropathy, Fungal infection. The diverse nature of the neurological complications underlines the importance of considering HIV infection in any neurological patient.
In Africa majority of patients present with severe weight loss. Multiple parasite infection is very common in african patients and thus diarrhoea is also very common.
Thrombocytopaenic purpura may be isolated manifestation of HIV infection.
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Primary Infection The initial infection with HIV is a subclinical type of infection and may not be of much consequence. A small part of the infected may develop within 2-3 weeks Rash, Fever and Lymphadenopathy. Some get pharyngitis, erythematous maculopapular rash, arthralgia, myalgia, retro orbital headache, malaise, diarrhea and vomiting. Opportunistic infections are not seen at this stage. A large majority remain a symptomatic. After a long incubation period varying from 1 to 12 years (usually 5-7 years) majority of the HIV infected develop frank clinical problems. The clinical picture is also too variable and depends from patient's level of immune system.
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Clinical Features & Symptoms
A wide variety of symptoms can be expected in patients infected with HIV. Combination of various indicators can help in diagnosing this disease. A high degree of suspicion can help in diagnosing many patients in their early stage.
Fatigue
Weight loss
Fevers
Night sweats
Swollen lymph nodes in neck, armpits, and groin
Sinus fullness and drainage
Pain when swallowing
Mouth sores
Dry cough
Shortness of breath
Diarrhea or other bowel changes
Personality changes
Difficulty concentrating
Confusion
Tingling, numbness, and weakness in the limbs
Dry skin
Nail changes
Recurrent Herpes Simplex
HIV infection may be suspected when a woman has the following:
Recurrent vaginal yeast infections (more than 3 infections per year.)
Recurrent Pelvic Inflammatory disease.
Abnormal Pap test
HIV may be suspected in a child who has the following:
Persistent yeast infection of the mouth (thrush)
Recurrent bacterial infections
Delays in growth or development
Swollen lymph nodes in neck, armpits, and groin
Enlargement of the liver and spleen
Almost all of these symptoms can be caused by other illnesses.
AIDS is diagnosed when an HIV-infected person has a CD4+ cell count below 200 cells per microliter of blood and specific opportunistic infections and/or cancers.
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AIDS is diagnosed when an HIV-infected person has --
A CD4+ cell count below 200 cells per microliter of blood.
Specific opportunistic infections and/or cancers
About 60% of HIV-positive adults who do not receive treatment develop AIDS after 12 or 13 years .This time period is too variable. Many with positive HIV develop opportunistic infections early and succumb to such infections.
Homosexuals, those who inject drugs and those with promiscuous lifestyle form a big part of HIV infections. Those visiting sex workers are at a very high risk. Truck drivers especially in the developing countries like India are a major part of infected population and are taking a big part in the spread of this infection back to their family when they happen to visit home.
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HIV infection and AIDS are caused by infection with the human immunodeficiency virus (HIV). HIV infects CD4+ cells,also known as T-helper cells or Helper T Lymphocytes, which are part of the body's immune system. There are mainly two types of HIV virus, HIV-1 and HIV-2. HIV-1 causes most of the infection all over the world. How the disease is spread HIV is spread when blood, semen, or vaginal fluids from an infected person enter another person's body, usually in one of the following ways:
Sexual Contact: any type of sexual contact - anal, vagina, or oral. Drug addicts sharing needles. Tattooing and body piercing by un sterilized needles. Getting injected by un sterilized needles by quacks (especially in the underdeveloped countries.) Accidental needle pricks to health workers or doctors. Unsafe Blood or blood products. Born to HIV positive mother. Pregnant female can transmit the virus to the newborn during pregnancy or during delivery or when she feeds her baby breast milk.
After years of scrutiny, there is no evidence that HIV is transmitted by casual contact or that the virus can be spread by insects, such as by a mosquito bite
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Human Immunodeficiency Virus
The Human Immunodeficiency Virus (HIV) is a deadly virus. Once you are infected with this virus you are sooner or later going to develop AIDS 'Aquired Immunodeficiency syndrome'. There is at present no cure for this disease. It is spread from one person to another via blood, semen, and vaginal fluids. Once you become infected, the virus attacks and gradually weakens your body's Immune System which is the defense mechanism against infections which our body is exposed at every minute of our life. Thus this reduced defense system of our body makes it possible for unusual diseases and cancers to take hold in our body.
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Karahi Gosht Ingredients
1 kilo mutton 2 tsp ginger paste 2 tsp garlic paste salt according to taste 1 tsp freshly crushed black pepper 1/2 tsp red chilli powder 5-6 tomatoes (medium size) 3-4 whole green chillies 4 tbs Cooking oil
Instructions
Add the meat in a pot (better if you use kerahi) with garlic & ginger and leave on medium heat for the water to dry.
When that is done add 3 glasses of water, cover and leave to tenderize. When the meat has softened add everything, including Cooking oil, except green chillies & tomatoes.
Increase the heat to dry water if any then add green chillies & tomatoes. Lower the heat and cook it covered for 5-10 minutes.
When the tomatoes are softened, increase the heat and cook till the water dries.
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Sarson Ka Saag
Ingredients
Mustard greens - 1 kg Red Chillies - 6 (whole) Onion - 1 small size, cut into 4 pieces Garlic cloves - 6Ginger - 1 small piece Green chillies - 4 Gram flour/cornmeal - ½ cup Salt to taste Oil - 1 cup
Instructions
Chop mustard greens finely and wash thoroughly.
In a heavy based pan boil the greens without any water with all spices.
When all its natural water is evaporated, remove from heat.
Slightly cool it and then grind to a smooth paste. Heat oil or banaspati and add the paste.
Stir for a few minutes and gradually add gram flour or cornmeal and cook for 5 minutes.
Before serving, garnish with melted butter and garlic.