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Is it really CMV?
Nov 28, 2004

My husband started meds three weeks ago and developed fever and chills. His Dr suspected CMV, had blood test done which returned negative. The Dr still wants to give CMV meds-is this necessary if the test is negative? My hubby has had no vision changes and has always had intestinal problems so how do we know if more meds are truly needed?

Response from Dr. Holodniy

This is a difficult question to answer. It depends on whether the starting CD4 count was very low (usually < 50 for CMV disease to be active in HIV patients) and what kind of rise occurred after starting therapy, what CMV tests were actually performed, and what other symptoms might be going on. CMV meds can be toxic to take and one would like to confirm the diagnosis before proceeding.



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