|starting meds on infected infant
Jun 3, 2006
I am adopting a 2 yr. old girl who tested HIV+. Her mother died of AIDS while giving birth. At 15 mo., after previously testing negative twice, she tested HIV+. Her virus load was 800,776 and the CD4 was 287. I am working in a foreign country where the language is still very foreign as well. The doctor said we did not need to start her on any medication yet because her immunity was still at a good level. After reading more on HIV however, and seeing the average VL lower than 5,000 I thought I needed to check and see if she should be starting on medicine now. Her VL seems incredibly high, is that a problem? Thank you for all your assistance.
| Response from Dr. Pierone
I do not take care of pediatric HIV patients but I share your concerns about holding off on therapy. The CD4 ratio is often used to guide therapy in HIV-infected children, but with a very high viral load and marginal CD4 count it makes all the sense to recommend treatment.
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