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low cd4 six months after infection
Sep 23, 2007

my first cd4 result is only 162, VL 24,000 in september. I was infected in Feb and seroconverted in March. I am a little shocked to find out the low body feels fine and I actually feel more healthy the past week...should I start medication soon? or wait for another 1 or 2 blood tests in a month?


Response from Dr. Young

Thank you for your post.

Your CD4 is surprisingly (and dissappointingly) low so soon after infection. While this is uncommon, it certainly is well reported to see persons with low CD4s after recent infection.

What should be done is a repeat CD4 test- I don't think that you'd have to wait a whole month, rather a couple of weeks will do. If your CD4 count remains below 200, then it is definitely time to start on medications, including Bactrim prophylaxis to prevent Pneumocystis pneumonia.

Best of health, BY

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