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James F. Sullivan, MD; Harold A. Kessler, MD; Beverly E. Sha, MD
Rush Medical College Chicago, Ill

JAMA. 1993;269(22):2847.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—Of the first 15 persons referred to our center for a therapeutic recombinant gp120 vaccine trial, two were in fact not infected with the human immunodeficiency virus (HIV). Undocumented patient reports of a positive test for HIV infection must be confirmed prior to therapeutic interventions, especially if patients lack clinical manifestations of HIV disease.

Report of Cases.—CASE 1.

—A 35-year-old heterosexual man contracted genital herpes simplex following vaginal intercourse with a prostitute. Three weeks later, he was tested for HIV at an anonymous testing center and told he was positive. Despondent, he did not return for results of a repeat test. Over 3 years, he sold most of his possessions, avoided dating, abstained from intercourse, ceased seeking to advance his career, and significantly increased his use of ethanol. The patient had a CD4 cell count of 0.87x10⁹/L (869/µL) on two occasions. He declined . . . [Full Text PDF of this Article]

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