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Re: further clarification
Jan 12, 2004

"A clinical AIDS diagnosis implies a clinical event, like an OI; you can have an OI with CD4 counts above 200 (although these persons are unusual)." -Benjamin Young, M.D., Ph.D.

"if someone DID die of flu or pneumonia with a normal CD4 count, it would not be "HIV/AIDS-related." -Joel E. Gallant, M.D., M.P.H.

As we can see, there is a discrepancy here, between the opinions of two top HIV specialists. Are the two of you aware that you disagree on this? What is the general consensus on this issue? Which opinion is more commonly accepted?

Response from Dr. Young

There is no discrepancy between Dr. Gallant and my statements-- influenza or a single case of pneumonia are not AIDS-defining illnesses (as defined by the CDC); as such a death from influenza or pneumonia (bacterial pneumonia, specifically) with a normal (greater than 200 cells) would not be an AIDS-related death. BY


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