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fast development of hiv

Feb 3, 2013

hello,, i have frend who got diagnosed hiv+ in january 2012, he got tested 2009 and he was negative, he was in thailand in january 2011 and had sex without protection with multiple girls, and in africa december 2012 were he had sex without protection too. during his test in january 2012 his viral load is extrmely very high 3 million and cd4 count is only 26.

is it possible that he got the virus in 2011 and it develop very fast on him?

Response from Dr. Holodniy

Although uncommon to see this rate of progression, it is not unheard of. Given the number of partners, it is possible that he acquired a more aggressive strain of HIV, which we know can kill CD4 cells more efficiently. He requires HIV treatment now, but a HIV resistance test should be obtained to determine whether the strain he acquired is already resistant to certain HIV medications.

Positive elisa, indeterminate western blot, positive pcr
Anal biopsy results

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