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Lab numbers & Weirdness: Acute Infection

Mar 16, 2008

help interpreting these lab numbers

Day 0: Infection (I know)

Day 14: HIV-PCR over 100,000 (Antibody Neg)

Day 26: HIV-PCR 853,000 CD4(%) 76(12%) CD8(%) 392(61%)

Day 29: HIV-PCR 379,389 CD4(%) 76(17%) CD8(%) 295(63%)

I went on HAART on Day 30: (Reyataz 300mg daily/Truvada/Norvir 100mg)

Response from Dr. Holodniy

I am not sure what your question here might be. Your viral load levels are consistent with acute infection, although your absolute CD4 counts are quite low and out of proportion to your much higher CD4%. Your CD8 counts are also low, but the percentages are increased. My guess is that your WBC and total lymphocyte count are quite low, which is consistent with acute HIV infection, and that is what is driving your absolute CD4 count down.

HTLV std
cd4 and low sed rate

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