Lecture Notes: Clinical Categories of HIV Infection






Category A 
Consists of one or more of the conditions listed below in an adolescent or adult (>13 years) with documented HIV infection. Conditions listed in categories B and C must not have occurred.
  • Asymptomatic HIV infection.
  • Persistent generalized lymphadenopathy.
  • Acute (primary) HIV infection with accompanying illness or history of acute HIV infection.


Category B 
Consists of symptomatic conditions in an HIV-infected adolescent or adult that are not included among conditions listed in clinical category C and that meet at least one of the following criteria: 
  1. The conditions are attributed to HIV infection or are indicative of a defect in cell-mediated immunity; or 
  2. The conditions are considered by physicians to have a clinical course or to require management that is complicated by HIV infection. 
Examples include, but are not limited to, the following:
  • Bacillary angiomatosis.
  • Candidiasis, oropharyngeal (thrush).
  • Candidiasis, vulvovaginal; persistent, frequent, or poorly responsive to therapy.
  • Cervical dysplasia (moderate or severe)/cervical carcinoma in situ.
  • Constitutional symptoms, such as fever (38.5°C) or diarrhea lasting >1 month.
  • Hairy leukoplakia, oral.
  • Herpes zoster (shingles), involving at least two distinct episodes or more than one dermatome.
  • Idiopathic thrombocytopenic purpura.
  • Listeriosis.
  • Pelvic inflammatory disease, particularly if complicated by tuboovarian abscess.
  • Peripheral neuropathy.


Category C 
Conditions listed in the AIDS surveillance case definition.
  • Candidiasis of bronchi, trachea, or lungs.
  • Candidiasis, esophageal.
  • Cervical cancer, invasivea.
  • Coccidioidomycosis, disseminated or extrapulmonary.
  • Cryptococcosis, extrapulmonary.
  • Cryptosporidiosis, chronic intestinal (>1 month's duration).
  • Cytomegalovirus disease (other than liver, spleen, or nodes).
  • Cytomegalovirus retinitis (with loss of vision).
  • Encephalopathy, HIV-related.
  • Herpes simplex: chronic ulcer(s) (>1 month's duration); or bronchitis, pneumonia, or esophagitis.
  • Histoplasmosis, disseminated or extrapulmonary.
  • Isosporiasis, chronic intestinal (>1 month's duration).
  • Kaposi's sarcoma.
  • Lymphoma, Burkitt's (or equivalent term).
  • Lymphoma, primary, of brain.
  • Mycobacterium avium complex or M. kansasii, disseminated or extrapulmonary.
  • Mycobacterium tuberculosis, any site (pulmonarya or extrapulmonary).
  • Mycobacterium, other species or unidentified species, disseminated or extrapulmonary.
  • Pneumocystis jiroveci pneumonia.
  • Pneumonia, recurrenta.
  • Progressive multifocal leukoencephalopathy.
  • Salmonella septicemia, recurrent.
  • Toxoplasmosis of brain.
  • Wasting syndrome due to HIV.
 
 

Medical Lecture Note Copyright © 2011