|Combination therapy or prophylaxsis ?
May 29, 2003
I am a 33 year woman who has been living with HIV for 12 years. In the last month I developed bacterial pneumonia while on holiday. My CD4 count was 210 and viral load 83,200. I am not currently on any treatment and now want to know whether I can delay combination therapy and just take prophylaxsis for PCP or whether it's best to treat now? Many thanks in advance
| Response from Dr. Young
Thank you for your questions.
With a CD4 count of 210 and recent history of bacterial pneumonia, I'd be thinking of starting HIV therapies in the near future. Indeed, a case of "recurrent" bacterial pneumonia, irrespective of CD4 count is an AIDS-defining illness; CD4s of 210 are very close (close enough not to clinically matter) to meeting the laboratory cut-point for an AIDS diagnosis too.
So, yes, I'd recommend starting combination therapies for HIV. Additionally, I'd recommend starting Bactrim (or another drug) to prevent Pneumocystis pneumonia (PCP) and having a pneumococcal vaccination ("Pneumovax").
Good luck. BY
Get Email Notifications When This Forum Updates or Subscribe With RSS
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.