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Positive or misdiagnosed ??

Jan 18, 2008

Dear Mark,

In September 2002 I got diagnosed positive after donating blood. To confirm, I carried out two HIV test. The first one for HIV I & II was performed by MEIA Technology on IMX system and came out positive. In another hospital they performed an HIV I & II (Elisa) screening test both positive for the 1st and 2nd Run. The HBsAg (Elisa) Screening test came out negative. In February 2003 I did my first CD4/CD8 Absolute count with the following results: Total WBC 5,040 Lymphocytes 38% CD4 Absolute Count 531 CD 8 Absolute Count 725 CD3 Average Count 1282 Cd4/CD8 Ration 0.73 As my CD4 count was >350 I was not advised to start medication. For several personal reasons I did not go for regular checks until last week (January 2008) which included my first Viral Load results. Details as follow: Total WBC 5,480 Lymphocytes 46% CD4 Absolute Count 756 CD 8 Absolute Count 1,155 CD3 Average Count 1,928 Cd4/CD8 Ration 0.65 HIV-1 RNA copies being undetactable (Quantative HIV PCR COBAS Amplicor Vers 1.5)

As I am now diagnosed HIV Positive for the last 5 years and not on medication, I am confused about these results. Am I HIV positive, did my immune system kill the virus and/or is the virus hidding in my system. Or could It be that I suffered another disease (I worked in Congo, Uganda, Sudan, Kenya and Afghanistan) common in the region were I have worked which had an impact on the initial HIV Antibody test conducted. Your opinion and advice would be greatly appreciated and which other test could give me an accurate outcome on my HIV status.

Thanks for supporting this forum, I found it of great support.

Response from Dr. Holodniy

You don't indicate whether a confirmatory western blot test was ever performed. It appears you had two different screening tests, but no western blot. If that test was performed already and was positive than you are HIV infected with an undetectable viral load.

Iron and TIBC
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