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1 September 2007

Volume 45, Number 5
Clinical Infectious Diseases 2007;45:e68–e71
© 2007 by the Infectious Diseases Society of America. All rights reserved.
1058-4838/2007/4505-00E4$15.00
DOI: 10.1086/520683
BRIEF REPORT

A Seronegative Case of HIV‐1 Subtype C Infection in Botswana

Vladimir Novitsky,1,3

Tendani Gaolathe,2

Elias Woldegabriel,1

Joseph Makhema,1,3 and

M. Essex1,3

1Botswana–Harvard School of Public Health AIDS Initiative Partnership for HIV Research and Education, and 2Infectious Disease Care Clinic, Princess Marina Hospital, Gaborone, Botswana; and 3Department of Immunology and Infectious Diseases, Harvard School of Public Health, Boston, Massachusetts

We report the first case, to our knowledge, of antibody‐negative human immunodeficiency virus type 1 (HIV‐1) subtype C infection, which was identified during screening for acute HIV‐1 infection in Botswana. Results of tests for HIV‐1 antibodies were consistently negative, including rapid and regular enzyme‐linked immunosorbent assay and Western blot. The nonrecombinant HIV‐1 subtype C infection was confirmed by viral genotyping within the gag, pol, and env genes. The period between referral of the patient in a clinically stable condition and AIDS‐related death was 3 months. The reported case indicates the importance of studying the prevalence of seronegative HIV‐1 infection in southern Africa, where subtype C predominates.

Received 26 March 2007; accepted 8 May 2007; electronically published 20 July 2007.

Reprints or correspondence: Dr. M. Essex, Dept. of Immunology and Infectious Diseases, Harvard School of Public Health, 651 Huntington Ave., Boston MA 02115 ().

Cited by

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Online publication date: 15-Jun-2008.
Citation-Full Text-PDF Version (465 kB)
Craig Corcoran and Diana Hardie. (2008) HIV‐1 Subtype C Seronegative AIDS. Clinical Infectious Diseases 46:2, 322-323
Online publication date: 15-Jan-2008.
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