A CD4 cell is a pop in of T cell that has a glycoprotein called CD4 on its surface.

By depleting CD4 cells, the immune function is gradually compromised, increasing the risk of HIV-relatedopportunistic infections.

HIV-Infected CD4 Cell (Close-Up)

Increased magnification of an HIV-infected CD4 cell.

HIV virions budding

National Institute of Allergies and Infectious Diseases (NIAID)

Maturation is required in order for the virus to become infectious.

Mycobacterium Tuberculosis

A scanning electron micrograph ofMycobacterium tuberculosisbacteria, which causetuberculosis (TB).

TB most often infects the lungs, but can many other parts of the body, as well.

T-cell

National Institute of Allergy and Infectious Diseases (NIAID)

Since 1993,M.

tuberculosishas been classified by the Centers for Disease Control and Prevention (CDC) as anAIDS-defining condition.

Pneumocystis Jiroveci

Russell K. Brynes/U.S.

HIV-infected CD4 cell

National Institutes of Health (NIH)

Centers for Disease Control and Prevention (CDC)

A silver-stained micrograph ofPneumocystis jirovecifungi isolated from a bronchial irrigation.

Pneumocystis jiroveci pneumonia (also known as PCP) is considered an AIDS-defining condition in people with HIV.

P. jiroveciiwas originally classified asP.

HIV-infected CD4 cell

National Institute of Allergy and Infectious Diseases (NIAID)

cariniibut was later changed to differentiate it from other forms ofPneumocystisfound in animals.

Candidiasis is common in people with HIV.

Toxoplasma Gondii

Photograph Yale Rosen

A photomicrograph ofToxoplasma gondiifound in the tissue sample.

HIV virions are shown budding and releasing

National Institute of Allergy and Infectious Diseases (NIAID)

The most common neurological signs are speech and motor impairment.

In advanced disease, seizures, meningitis, optic nerve damage, and psychiatric manifestations are often seen.

Toxoplasmosis of the brain is classified by the CDC as an AIDS-defining illness in people with HIV.

Mycobacterium tuberculosis

National Institute of Allergy and Infectious Diseases (NIAID)

Salmonella

Rocky Mountain Laboratories/NIAID/NIH

A scanning electron micrograph ofSalmonellaenterobacteria invading a cultured human cell.

However, the majority of U.S.Salmonella-related deaths are either among older people or those with severely compromised immune systems.

Coccidioidomycosis is a fungal disease caused byC.

Pneumocystis jiroveci

Russell K. Brynes/U.S. Centers for Disease Control and Prevention (CDC)

posadaii, and is commonly known as “valley fever.

Varicella Zoster

A fiery-looking electron micrograph ofVaricella zostervirus.

VZV belongs to the same family of virus as the herpes simplex virus (HSV).

Candida albicans

Photograph © Michael Francisco

VZV infection is not considered an AIDS-defining illness.

Cystoisosporiasis has been classified by the CDC as an AIDS-defining illness in people with HIV.

Cryptococcus Neoformans

CDC/Dr.

Human Papillomavirus (HPV)

BSIP/UIG via Getty Images

C. neoformansis one of two fungal species that can cause disease in humans called cryptococcosis.

(The other isC.

Transmission occurs mainly through inhalation of the fungus, which is present in soil and bird droppings.

Toxoplasma gondii

Photograph © Yale Rosen

Extrapulmonary cryptococcosis has been classified by the CDC as an AIDS-defining illness in people with HIV.

Histoplasma Capsulatum

CDC/Dr.

Libero Ajello

A photomicrograph showing twoHistoplasma capsulatumfungi.

Salmonella

Rocky Mountain Laboratories/NIAID/NIH

H. capsulatumis a fungus that can cause disease in humans called histoplasmosis.H.

capsulatumfungus can be found in soil, bird droppings, and bat guano.

As much as 90% of the population in the eastern and central United States have been exposed toH.

Coccidioides Immitis

Mercy Hospital Toledo, Ohio/Brian J. Harrington/CDC

capsulatum, with most people experiencing little or no side effects.

Those who do generally have mild, flu-like symptoms that quickly resolve with no lasting impact.

In immune-compromised individuals, histoplasmosis can progress to chronic lung infection, similar in expression to tuberculosis.

Varicella Zoster

National Institute of Allergy and Infectious Diseases (NIAID)

Histoplasmosis has been classified by the CDC as an AIDS-defining condition in people with HIV.

Kauffman CA.Histoplasmosis: a clinical and laboratory update.Clin Microbiol Rev.

2007;20(1):115132. doi:10.1128/CMR.00027-06

Veesler D, Johnson JE.Virus maturation.Annu Rev Biophys.

Cystoispora Belli (Isospora Belli)

U.S. Centers for Disease Control and Prevention (CDC)

2017;26(1):1731. doi:10.1016/j.soc.2016.07.010

CDC.People at increased risk for toxoplasmosis.

2017;190:4250. doi:10.1016/j.imlet.2017.07.006

Centers for Disease Control and Prevention.Public Health Image Library.

John AR, Canaday DH.Herpes zoster in the older adult.Infect Dis Clin North Am.

Cryptococcus Neoformans

CDC/Dr. Edwin P. Ewing, Jr.

2017;31(4):811826. doi:10.1016/j.idc.2017.07.016

Centers for Disease Control and Prevention.

Warkentien T, Crum-Cianflone NF.An update on Cryptococcus among HIV-infected patients.Int J STD AIDS.

2010;21(10):679684. doi:10.1258/ijsa.2010.010182

Histoplasma Capsulatum

CDC/Dr. Libero Ajello