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Ann Intern Med 1987; 106: with dirty needles and syringes; (d) dental hygiene is often poor; (e) bacterial clearance by the tracheobronchial system can be decreased during intoxication; (t) promiscuity and prostitution increase the risk of transmitting infective agents; and, finally, (g) cell mediated immunity may be impaired in IVDAs not only by HIV infection but also by intravenous drugs themselves.37","journal-title":"Ann Intern Med; 106: with dirty needles and syringes; (d) dental hygiene is often poor; (e) bacterial clearance by the tracheobronchial system can be decreased during intoxication; (t) promiscuity and prostitution increase the risk of transmitting infective agents; and, finally, (g) cell mediated immunity may be impaired in IVDAs not only by HIV infection but also by intravenous drugs themselves.37"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/0002-9343(88)90503-7","article-title":"Rheumatic manifestations of human immunodeficiency virus infection","volume":"85","author":"Berman, A.; R, Espinoza L.; D, Diaz J.","year":"1988","unstructured":"Berman A, Espinoza L R, Diaz J D, et al. 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