very low cd4 count
Jul 22, 2009
Hi Doctor my partner's cd4 count last April was 28. Recently, he tested positive for cryptoccocal infection in the blood. He is now being treated with Diflucan for two weeks. His doctor wants him to take Bactrim thrice weekly and Zithromax 1gram weekly. He developed rashes and fever when he took Bactrim together with Nevirapine two months ago. The doctor switched us to Efavirenz and stopped the Bactrim right away. Please tell me what you think. Thank you very much.
Response from Dr. McGowan
It is very tough when you find out about having HIV and are sick at the same time. Several things have to be dealt with together.
The most important is getting on effective treatment for HIV...efavirenz based treatment can be very effective if there is no previous resistance in teh virus he has acquired.
Also the azithromycin (at a dose of 1200 mg a week) should be continued until his virus is supppressed and CD4 recovery has started.
As he responds to teh treatment things will get simpler and one-by-one the meds to treat and prevent infections will be stopped and he will be left only with his meds for the virus.
Best of luck,
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