Medina-De la Garza CE, Castro-Corona MDLÁ, Salinas-Carmona MC. Near misdiagnosis of acute HIV-infection with ELISA-Western Blot scheme: Time for mindset change.
IDCases 2021;
25:e01168. [PMID:
34094866 PMCID:
PMC8167227 DOI:
10.1016/j.idcr.2021.e01168]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 05/19/2021] [Accepted: 05/20/2021] [Indexed: 11/18/2022] Open
Abstract
Many health care providers still rely upon the ELISA-Western blot scheme for HIV-diagnosis.
Western blot may fail to detect an acute HIV-infection.
Point of Care settings using rapid tests should consider anamnesis and patient risk assessment for an accurate HIV-Testing.
Discordant HIV-testing results require knowledgeable counseling.
Health care providers should be aware and updated about changes in HIV-testing guidelines.
Some HIV-infection diagnostic guidelines and health care providers still rely on the ELISA-Western blot diagnostic algorithm. We present a near misdiagnosis case with discordant test results and a lack of proper counseling. We point out the need for an assertive update of health care providers on diagnostic HIV-tests
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