|Effect of tonsillectomy on counts
Dec 21, 2003
I've been hiv+ for 5 years and has been exposed to several therapies. Since June 2003 I stopped therapy that included a protease inhibitor because of its side effects. September my cd4 was 500 and viral load 25000. A month and a half back I decided to have a tonsillectomy since I suffered from tonsillitis often in the past. My new counts today are cd4 300, viral load 20000 but the cd4/cd8 ratio is only .25. from .35. Could this big drop still be the effect of the tonsillectomy with its anesthetics and could I wait a bit longer before deciding to go onto therapy?
Many thanx From South Africa
| Response from Dr. Young
Thanks for your question.
It's certainly possible that the stress associated with your surgery could have adversely affected your labs-- for this reason I really try to avoid doing any HIV labs within at least a couple of weeks of any significant trauma, surgery, infection or vaccination.
I also try not to base the decision to start therapy on the basis of a single set of labs-- that means in your circumstance, that at the very least, I'd be repeating a set of CD4s before launching into treatment.
Thanks for reading, hope this helps. BY
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