Oct 26, 2008
I am in a third world country and could not get vl counts past 2 years. March 2006, vl 4500, cd4 423, 20%. Oct 2008, vl 158000, cd4 558,15%.
In between, my cd has remained above above 500 but my cd8 has doubled to 2900, ratio has fallen from .27 to .2. CD8 seems the major reason for drop in cd4 %.
I had a water borne stomach infection and bloody diarrhoea for a week before the last test (there was a small diarhea epidemic around the village).
Should I worry, start treatment?
Response from Dr. Holodniy
Given that you had an acute illness when the last set of labs was taken, it is hard to know where you stand. That could have caused the viral load increase and CD4% decline. I think you need another set of numbers when the GI infection is cleared up to know ehre you are. If these numbers are consistent, then I would be concerned about that viral load level and a CD4% of 15% despite the absolute count being at 500.
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