CD4 of 15, throat ulcer and uncontroled fever
Jun 30, 2012
My brother was recently diagnosed, his CD4 is only 15, he has started HIV treatment for 2 month now in Beijing, he is still hospitalized for fever and painful throat, he has large ulcer in his throat and esophagus, his fever is not controlled for 2 month now, all tests suggest that his lungs, brain, liver etc are fine. Is this common? Will he have hope to get out of this OK
Response from Dr. Young
Hello Sam and thanks for posting.
It's good to hear that you brother is on HIV medications- certainly with his very low initial CD4 count, he was (?is) at risk for many serious complications. It's also good to hear that his tests look ok.
Esophageal ulcers in persons with AIDS have really only a limited potential list of suspects: herpes virus, cytomegalovirus (CMV), aphthous ulcers or malignancies (like lymphoma). The most common causes usually are the first three and the normal tests are at least reassuring with regard to cancer. Steroids are the typical treatment for aphthous ulcers. Usually we'd treat for herpes, and if no response consider obtaining a biopsy of the ulcer to see what the cause is.
I hope that's helpful, BY
Get Email Notifications When This Forum Updates or Subscribe With RSS
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.