PMID- 9466541 OWN - NLM STAT- MEDLINE DCOM- 19980306 LR - 20190512 IS - 0022-1899 (Print) IS - 0022-1899 (Linking) VI - 177 IP - 2 DP - 1998 Feb TI - High human immunodeficiency virus type 1 RNA load in the cerebrospinal fluid from patients with lymphocytic meningitis. PG - 473-6 AB - Thirty-seven matched cerebrospinal fluid (CSF) and plasma samples from 34 human immunodeficiency virus type 1 (HIV-1)-infected patients with suspected meningitis were analyzed for levels of HIV-1 RNA and markers of inflammation. Patients with tuberculous (n = 9) or cryptococcal (n = 6) meningitis had the highest CSF virus loads, which in many cases exceeded the levels in plasma, compared with patients with meningococcal meningitis (n = 3), aseptic meningitis (n = 8), tuberculoma (n = 2), or AIDS dementia complex (n = 4) or with normal lumbar punctures (n = 3). CSF virus load correlated significantly with the number of infiltrating lymphocytes (r = .60, P < .001) but not with plasma virus load, the levels of beta2-microglobulin in the CSF, or the integrity of the blood-brain barrier. These data suggest significant intrathecal HIV-1 replication in patients with lymphocytic meningeal infections such as tuberculous and cryptococcal meningitis. FAU - Morris, L AU - Morris L AD - National Institute for Virology, Department of Virology, University of the Witwatersrand, Johannesburg, South Africa. lmorris@adarc.org FAU - Silber, E AU - Silber E FAU - Sonnenberg, P AU - Sonnenberg P FAU - Eintracht, S AU - Eintracht S FAU - Nyoka, S AU - Nyoka S FAU - Lyons, S F AU - Lyons SF FAU - Saffer, D AU - Saffer D FAU - Koornhof, H AU - Koornhof H FAU - Martin, D J AU - Martin DJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (HIV Core Protein p24) RN - 0 (RNA, Viral) RN - 0 (beta 2-Microglobulin) SB - IM MH - AIDS Dementia Complex/blood/cerebrospinal fluid/immunology MH - Blood-Brain Barrier MH - CD4 Lymphocyte Count MH - Cryptococcosis/blood/cerebrospinal fluid/immunology MH - HIV Core Protein p24/analysis MH - HIV Infections/blood/*cerebrospinal fluid/immunology MH - HIV-1/genetics/*isolation & purification MH - Humans MH - Leukocyte Count MH - Lymphocytes/immunology MH - Meningitis/blood/*cerebrospinal fluid/*virology MH - Meningitis, Aseptic/blood/cerebrospinal fluid/immunology MH - Meningitis, Fungal/blood/cerebrospinal fluid/immunology MH - Meningitis, Meningococcal/blood/cerebrospinal fluid/immunology MH - RNA, Viral/analysis/*isolation & purification MH - Tuberculosis, Meningeal/blood/cerebrospinal fluid/immunology MH - Viral Load MH - beta 2-Microglobulin/analysis/metabolism EDAT- 1998/02/18 00:00 MHDA- 1998/02/18 00:01 CRDT- 1998/02/18 00:00 PHST- 1998/02/18 00:00 [pubmed] PHST- 1998/02/18 00:01 [medline] PHST- 1998/02/18 00:00 [entrez] AID - 10.1086/517379 [doi] PST - ppublish SO - J Infect Dis. 1998 Feb;177(2):473-6. doi: 10.1086/517379.