Coinfection of Hepatitis C Virus with Human Immunodeficiency Virus and Progression to AIDS
- 1 December 1995
- journal article
- research article
- Published by Oxford University Press (OUP) in The Journal of Infectious Diseases
- Vol. 172 (6) , 1503-1508
- https://doi.org/10.1093/infdis/172.6.1503
Abstract
To assess the influence of hepatitis C virus (HCV) on the natural history of human immunodeficiency virus (HIV) infection, a longitudinal study was conducted among 416 HIV-positive, AIDS-free persons infected through injecting drug use or homosexual or heterosexual activity and with known seroconversion dates. End points were diagnosis of AIDS and a CD4 cell count of < 100 × 106 cells/L. HCV antibodies were detected in 214 persons (51.4%). The crude relative hazard (RH) of progression to AIDS was 0.96 (95% confidence interval [CI], 0.53–1.76) for HCV-coinfected participants compared with those not coinfected. After adjustment for CD4 cell count, the RH was 0.97 (95% CI, 0.52–1.79). Similar RHs were found using a CD4 cell count of 6 cells/L as the end point. The median CD4 cell loss was 4.83 × 106 cells/L per month among coinfected persons and 5.70 × 106 cellslL per month among the others. These results suggest that coinfection with HCV does not influence clinical and immunologic progression of HIV disease.Keywords
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