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Anyone Know How Long
Jan 4, 2011

My ex tested positive for hiv in october. My question is this if his viral load is 13000 and his cd4? is 405 can you tell how long they have been infected? I have looked everywhere with nothing referring to this question.

Response from Dr. Frascino

Hi,

No, by merely knowing an isolated HIV plasma viral load and CD4 count we cannot determine accurately how long someone has been infected. HIV disease behaves differently in different hosts, due to many factors: viral strain, concurrent infection, host immune integrity, etc. If the CD4 count is extremely low, we could assume the individual has been infected for a significant period of time (years). Your ex's count is only moderately depressed. Perhaps the best way to determine how long your ex has been infected would be to have an honest discussion with him about the timing of any risk behaviors (unprotected sex or sharing intravenous needles).

If you're concerned about possible infection, you should get an HIV test three months or longer from the time of your last "ex"-posure.

Good luck.

Dr. Bob



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