Expanding on Thrush question - JB
Jan 3, 2001
In a question you answered recently about "why is thrush such a good indicator", you stated that thrush tends to show up in relation to HIV, when CD4 counts drop. At what level would it most likely to present, does it have any connection to what a person viral load would be? Or are CD counts a better indicator? Below 500 or?
Response from Dr. Bartlett
CD4 cell counts are the best predictors of thrush, and typically thrush can occur when your CD4 count is 300 or less. By no means will everyone with a CD4 count below 300 get thrush, and everyone with thrush does not necessarily have a CD4 count below 300, but the trend holds in general. Viral loads can independently predict thrush, but the stronger association is with CD4 count.
John A. Bartlett, M.D.
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