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. 2007 Mar;21(1):149-79, ix.
doi: 10.1016/j.idc.2007.03.009.

Clinical care of the HIV-infected drug user

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Clinical care of the HIV-infected drug user

R Douglas Bruce et al. Infect Dis Clin North Am. 2007 Mar.

Abstract

HIV/AIDS and chemical dependency, the latter often intertwined with mental illness, are complex, overlapping spheres that adversely influence each other and the overall clinical outcomes of the affected individual. Each disorder individually impact tens of millions of people adversely, with explosive epidemics described worldwide. This article addresses the adverse consequences of HIV/AIDS, drug injection, the secondary comorbidities of both, and the impact of immunosuppression on presentation of disease as well as approaches to managing the HIV-infected drug user.

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Fig. 1
Fig. 1
Worldwide distribution of HIV and IDU. White, no IDU reported; blue, IDU reported only, and red HIV and IDU reported. (Adapted from WHO Programme on Substance Abuse, and from Refs. [31,46,101]).

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