Primary Infection With Zidovudine-Resistant HIV CDC Daily UpdateImportant note: Information in this article was accurate in 1993. The state of the art may have changed since the publication date.

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Primary Infection With Zidovudine-Resistant HIV

New England Journal of Medicine (10/07/93) Vol. 329, No. 15, P. 1123 (Hermans, P. et al.)


Hermans et al. challenge the conclusions of Erice et al., who described an HIV-positive patient with a primary infection that showed resistance to zidovudine. Erice et al. suggested that isolates that are resistant to nucleoside analog drugs are associated with a higher virulence or modified immune response. After their subsequent study of the isolates of five acute HIV patients with resistant strains, Hermans et al. clinically did not observe any longer duration or greater severity of symptoms in the subjects. Nor could they find any evidence to support the conclusions of Erice et al. Hermans et al. reported that the frequency of such primary zidovudine- resistant strains is still unknown, but that they are probably more frequent than previously thought. The researchers said that these findings have implications for clinical trial design.


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