Jul 6, 2013
I've been trying to help my Brother manage his HIV and he's had three hospital admits. His last Labs Were: Absolute CD4 78 and his HIV-1 RNA(log) was 2.10 The CD4 seems very low how do we read the labs and what should we be asking his doctors? He had acute kidney failure we were told they have stabalized, the last admit was for PCP.
Response from Dr. Holodniy
A lot going here. The CD4 is very low and indicates an AIDS diagnosis. The normal CD4 count range for people without HIV infection is 500-1500. He is at significant risk for other kinds of infections like PCP, which he already had. You don't indicate whether he is on HIV treatment, but his very low HIV viral load would indicate so. It is also not clear what his acute kidney failure was from and whether the underlying cause is being addressed.
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