|T cell lymphoma in HIV+
Mar 21, 2001
A good friend was diagnosed as HIV positive 2 months ago during evaluation for swollen groin glands that turned out the be treatable T-cell lymphoma (not felt to be AIDS related). He has not had other symptoms and feels quite well.
His two recent CD4 counts were 303 and 450. His viral loads were over 300,000/ml each time and he was begun in HAART which he has been tolerating. I do not know his response to treat yet, but he seems to tolerate the pills well.
He has begun 6 cycles of CHOP chemotherapy that is supposed to be well tolerated and only mildly and transiently bone marrow suppressive. He takes the white cell boaster neupogen when his counts are low. His doctor has given him levoquin for the high fever he had during the first cycle that went away (opportunitic infection?).
Based on this story, does he seem to have AIDS? Should he been on any other infection preventions at this time for thrush, PCP, toxo, etc.?
Response from Dr. Feinberg
T cell lymphomas have been described in HIV+s, although they are uncommon. T cell lymphoma is the hallmark of HTLV-I infection, a virus that is (distantly) related to HIV. So I wouldn't be so quick to say that your friend does not have AIDS.
But even if the T cell lymphoma were totally unrelated to his HIV, he still needs PCP prophylxis merely on the basis of receiving combination chemotherapy, which is itself a risk for PCP. WE routinely provide PCP prophylaxis for AIDS patients undergoing chempotherapy for B cell lymphomas, which are typical in HIV+s, regardless of what their Cd4 cell count is.
Otherwise, it sounds like he is getting excellent care. I would also make sure he gets tested for hepatitis B&C.
how long before HIV becomes AIDS?
- Black Spots After Giving Handjob Worried I Have HIV
- Bloody Nose After Licking Rectum Worried I Have HIV
- Bloody Pee After Anal Sex Condom Broke Worried I Have HIV
- Red Eyes After Anal Sex Top Sign Of HIV AIDS
- Red Eyes After French Kissing Worried I Have HIV
- Tingling In Feet After Oral Sex Hooker What Are The Chances Of HIV
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.