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Is this a blip in viral load or nothing

Mar 20, 2011

My partner was diagnosed in April of 2010 and started meds in June 2010 as he didn't seem to be bouncing back from the acute infection. His viral load was 690,000 and CD4 154. 8 weeks later his viral load was undetectable (<20 copies) and his CD4 was 329. He has been undetectable ever since. However, he had a really bad respiratory infection and at his last set of tests his VL was 33 and his CD4 was 459. My question is since most tests measure viral load at <48 copies would you still consider his VL undetectable. Is this slight rise anything to worry about? He has been taking Isentress and Truvada and he's never missed a dose.

Response from Dr. Holodniy

I would not be concerned with that viral load result, and given the definition for the assay, I would still consider him undetectable. The accuracy and confidence level for results below 48 copies would not be considered good.

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