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Hepatitis and HIV CoinfectionHepatitis and HIV Coinfection
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Jul 8, 2008

My friend had multiple health problems for about 5 years and was diagnosed with AIDS before he could even think about HIV. His T cell count was 28 and the other test to indicate the amount of infection was 500,000. He is coninfected with HCV. He appears to have improved since his hospitalization with weight gain, appetite improvement, etc. The local doctor referred him to a specialist and told him to discontinue the antiviral medications as he had a rash which I thought may have been related to the actual disease rather than the meds. He seems to have given up as a result of the attitude of the local doctor even though he looks well and feels pretty good too. Is there any hope at this point? Please be honest.

Response from Dr. McGovern

ABSOLUTELY YES. Your friend needs to get back to the doctor ASAP. He is at risk of developing other complications of AIDS. However, with restarting medications for HIV he can live a long life. He just needs to have a doctor who will watch him carefully as he restarts medications to find the ones that he can tolerate the best.

Remember HIV is a chronic disease just like diabetes - you need to take the medications that keep it is check.

His hepatitis C can be addressed later when he is better.

any possible transmission
Reactive with Hep C but viral load low

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