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Mononucleosis and CD4 count
Dec 17, 2005

I had a confirmed negative HIV test in 2/05 and a positive test in 9/05. I experienced a prolonged diarrheal illness, 20 lb weight loss and fever for a month prior to my diagnosis. My primary MD did a battery of tests which only revealed an acute/recent EBV virus exposure. My inital CD4=158 was extremely low for a recent infection. I did not have a lymphopenia, my CD4% was 10%, viral load was 47,000 and after the illness I have been completely asymptomatic. Could this CD4 count have simply been due to EBV (mononucleosis)and not HIV???

Response from Dr. Holodniy

If in fact this was a confirmed case of acute EBV inefction, then it could have contributed to, but would not have been the only reason for that CD4 count.



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