|viral load increasing from undetectable to 46000 COPIES after Hepatitis B vaccination
Aug 2, 2011
Im hiv positive, i started taking arv's last year july. i became undetectable in november 2010 and my CD4 count increased from 198 to 400. on my doctor's advice upon testing negative for HEP B, HE suggested i vaccinate against it, i did as recommended and got my results today, my CD4 COUNT has increased to 542 and the viral load has spiked to 46000 COPIES, cud this be a result of the Hep b vaccination and the Flu vacc'. I'm freaking out as i read that a spike in viral load makes one susceptible to opportunistic infcections?
| Response from Dr. McGovern
It is great news how well you are doing with your HIV medications.
The idea to get vaccinated against HBV is a good idea as well.
Although there are old data suggesting the vaccine can cause a drop in T cells and a rise in virus, I would be surprised if this were the case in you. Those data were published a long time ago and I think many people are much better suppressed on current ARV than they were before.
If you had a burst of viremia (virus in your blood) that went that high, I would have expected your T cells to go down - not up. Thus, I am wondering if you have an error in your lab testing.
I would simply just get another HIV RNA test...I suspect it will be okay.
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