|Born with toxoplasmosis
Dec 17, 2004
I am 49 years old and have been positive for 15 years with no related hiv illness ever. However I do have conjenital toxoplasmosis and have been legally blind since birth. I am not currently on any meds and doing quite well. My T-cell count is 479 which is the lowest it has ever been and my viral load is 5,000. I have been off meds for 6 months now. Concerning the toxoplasmosis when should I be concerned about taking meds for it not to bother me, at what point if my T-cells start to fall or viral load has an increased height. My viral load at its highest was 150,00. Thank you for any advice you can give me.
| Response from Dr. Henry
Generally the risk for central nervous system toxoplasmosis goes up after the CD4 count falls to less than 250. Taking a sulfa antibiotic (i.e. Septra) can prevent both Pneumocystis and toxo so that is recommended once the CD4 count is < 250-200. I am unsure whether your history of congenital toxo alters the threshold for using Septra (some might suggest using it even at higher CD4 counts).KH
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