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Low CD4 Count

May 15, 2011

I was infected with HIV about 4 months ago. Now my CD4 count is low, 261 (14.7%); also my CD8 count is 996 (56.08%). My Chinese Doc. is not sure if I should start the treatment since the uncertainty of CD4 count rising up or decreasing... In general, will the CD4 count rise up among 6 months HIV infection? How long does it take to have a stable CD4 count after infection without treatment? I am very worried about this & not ready for the treatment. Thanks a lot!

Response from Dr. Holodniy

In general, I agree with your doctor. If infection truly occurred 4 months ago, and not just that you were tested and found to be positive (but not knowing the duration of infection), then yes, this CD4 count could be low because of acute infection and could increase to some higher number. On the other hand, if duration of infection is unknown, then that CD4 count is likely what your actual CD4 count is and treatment should be started now. Usually about 6 months after infection the CD4 count stabilizes. So I don't think I would wait another 6 months to retest. I would get another test in a month or two. If your CD4 count is still that low, you should start HIV treatment.

HIV and other viruses or bacteria in the body
Worry about viral blip

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