|Tested Poz 12/14/99, DC4 and V Low
Dec 26, 1999
I am 38 year old W/M that tested poz on December 14,1999. My CD4 is 268 and Viral Load is 1,300. I have never been tested before. I suspect I could be poz from 1982, Perhaps in the mid 1990's. I am not sure. I have never been on any medicine or had any major illness. I wonder if the test results are good or bad. I am hearing they may be good if have been poz a long time. My immune system may have kept the Viral load low on its own. However,I am concerned about the low CD4 count.I wonder about starting medicine or not. Please give me your thoughts on my status. Also, had a complete physical with everything great except cholesterol a little high.
| Response from Dr. Holodniy
It is difficult to pin down the exact time of infection. But you may be right, in that you may have a "slow-low" strain of virus. This is a test tube phenomenon in which we have observed that some viruses grow slower and destroy t cells at a much slower rate. Given your t cell count, I would recommend treatment, even though your viral load is relatively low. I would expect an improvement in your CD4 count if your viral load is <50 (undetectable) with treatment.
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