|Vaccination Against Hep A and Bloodwork
Jul 27, 2008
I had a CBC on May 1 and all numbers came out quite normal. I just had a new one, less than a day after having taken my first shot against Hep A. Lymph % were abnormally high (52%)and Neut % (39.2%) and platelet count abnormally low (139.5). I was very surprised at and depressed by this turn of events since I do not have any infection and seems to contradict what I learned about HIV behavior. Can the vaccination have anything to do with it or can HIV progression in 8 weeks lead to such sudden changes? FYI, my absolute CD4 counts have been fluctuating wildly since May (although percentages are stable) even when I have been using the same lab and doing the test at the same time of day to avoid the diurnal variation factor: 343 (18.5%) VL 8 thousand, 502 (18.6%), unknown VL due lo lab mistake, 376 (18.8%). I am waiting for the latest VL, but absent a substantial increase in VL I do not understand why my bloodwork would be significantly worse at a time when the HIV infection seems stable, unless of course it is not. I am very frustrated with all of these contradictory results. For a variety of reasons (fear of resistance and side effects, and of running out of options sooner rather than later) I really did not want to start therapy unless I really had to (and I thought based on the CD4 behavior I would not have to for a bit) but if other stuff in my system is going to be ruined regardless of CD4 behavior then I guess there is no point waiting and I might as well take my chances with medication. Any insights or advice?
| Response from Dr. Holodniy
Likely related to the immunization. It is also unlikely that any progression has occurred in that short time frame.
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