It isn’t the virus itself that will ultimately kill the person, but other infections the patient isn’t able to fight off due to a weakened immune system. The mere common cold, something that many people never even know they had until it is gone, can be devastatingly lethal.
(https://hivrna.com/what-are-the-complications-risks-of-hiv-aids)
The outcome is far, far different for those who do seek medical treatment after knowing they are HIV positive. Though we have no cure in existence, the HIV virus can be halted, even diminished, with retroviral therapy, to the point where it doesn’t bear any negative impact at all.