|Falling viral load and CD4's
Feb 13, 2007
I believe I was infected in July 2006 (and seroconverted in August 2006). In September, I had a viral load of 8,000 and my CD4 was 586 (29%). By early December, my viral load had dropped to 2,800, while my CD4 count had dropped to 373 (23%). I just got tested again (2 months later), and my viral load was down to 865. Unfortunately, my CD4 count was also down significantly -- to 228 (25%). Given my relatively low viral load, why is my CD4 dropping so quickly as well? Is it time to go on meds? P.S. -- In early January, I had a nasty methicillin resistant staph infection, treated with Bactrim, which had resolved by the time of my third labs. Could this have caused or contributed to the CD4 drop?
| Response from Dr. Wohl
Your CD4 cell count is not clearly dropping but seems to be bouncing around if you look at the CD4 percent which have ranged from 23% to 29%. I wonder if yoru staph infection and treatment could have lowered your overall number of white blood cells leading to a low absolute CD4 cell count and only a modest dip in the CD4 percent.
I'd continue to follow the trends in your CD4 counts before I would react.
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