Low CD4+ and high viral load
Aug 12, 1999
Dear Doctor, I found out last week to hiv pos. My CD4+ is 27 and the viral load is 190.000 and I am already on therapy. I was probably infected 4 months ago. How bad is the situation?
Response from Dr. Holodniy
It would be unlikely you were infected 4 months ago with an absolute CD4 count of 27. Are you sure you are not looking at the percentage of CD4 cells? If the absolute number is truly 27, the infection took place some years ago, and you by definition have AIDS. A viral load of 190,000/ml is not in and of itself that bad. Treatment today will bring that level down to < 50/ml and boost your t cells up.
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