Seroconversion illness

• acute illness associated with primary HIV infection \~80%

• 2-4/52 after exposure

• seroconversion lasts 2-3w

• in early phase HIV antibody may be neg or equivocal

• HIV-1 RNA in plasma

• antibodies = completion of seroconversion

Symptoms:

• fever

• fatigue

• maculopapular rash

• myalgia

• headacehs/aseptic meningitis

• lymphadenopathy

• pharyngitis

• may manifestation

pre-test counselling

• not a requirement unless patient requests/needs this