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Q.'An HIV patient normally doesn't die of 'AIDS', but death is caused due to many other infections.' Do you agree with the statement ? Give explanatory reasons in support of your answer.

CBSECBSE Class XII Board 2022Subjective· 3mImportance★★★★★
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Yes — HIV destroys the immune system, leaving the body defenseless against opportunistic infections and cancers that ultimately cause death, not the virus itself.

The statement is entirely accurate and captures the fundamental tragedy of AIDS. HIV (Human Immunodeficiency Virus) does not kill directly; instead, it systematically dismantles the body's immune defenses, leaving the patient vulnerable to a host of infections and diseases that a healthy immune system would ordinarily repel without difficulty.

How HIV Destroys Immunity

HIV specifically targets and infects helper T-lymphocytes (CD4+ T cells), the very cells that coordinate the immune response. These cells are the generals of our immune army — they recognize pathogens, activate other immune cells, and orchestrate the body's defense strategy. The virus enters these cells, hijacks their machinery to replicate itself, and in the process destroys them. As the CD4+ count progressively falls over months and years, the immune system collapses.

When the helper T-cell population drops below a critical threshold, the person develops AIDS (Acquired Immuno Deficiency Syndrome). At this stage, the body can no longer mount effective responses against microbes that are normally harmless or easily controlled.

The Real Killers: Opportunistic Infections

What actually kills AIDS patients are opportunistic infections — diseases caused by pathogens that exploit the weakened immune state. These include:

  • Mycobacterium tuberculosis causing severe tuberculosis
  • Toxoplasma gondii leading to brain infections
  • Pneumocystis jirovecii causing life-threatening pneumonia
  • Candida species producing widespread fungal infections
  • Cytomegalovirus affecting multiple organs …

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