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International Journal of STD & AIDS

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Int J STD AIDS 2009;20:205-206
doi:10.1258/ijsa.2008.008263
© 2009 Royal Society of Medicine Press

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Case reports

A case study of delayed HIV-1 seroconversion highlights the need for Combo assays

S Skidmore PhD FRCPath  *, S Devendra FRCPI {dagger}, J Weaver RMN RGN {dagger}, J Short MRCP MRCPath {ddagger}, H Osman MBBCh FRCPath § and E Smit MMed FRCPath(SA) §

* Department of Microbiology, Shrewsbury and Telford Hospital NHS Trust, Telford TF1 6TF; {dagger} Department of Genito-urinary Medicine, Telford and Wrekin NHS PCT, Telford TF1 6TF; {ddagger} Department of Sexual Health, Heartlands Hospital, Birmingham B9 5SS; § Health Protection Agency Public Health Laboratory, Heartlands Hospital, Birmingham B9 5SS, UK

Correspondence to: Dr S Skidmore Email: sue.skidmore{at}sath.nhs.uk

This report describes a case in which a patient took at least four months to seroconvert to anti-HIV positivity. A concomitant CMV infection probably contributed to the profound immune suppression observed. It is essential that fourth generation HIV antigen/antibody combo assays be used to ensure that such cases are not missed.

Key Words: HIV-seroconversion • HIV fourth generation assays • concomitant infections


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