Please Note: Due to volume considerations, not all questions can be answered. Questions most likely to be answered will be those of general interest to a broad group of visitors to this forum. Questions pertaining to a specific case; requests for diagnosis, medical advice, or second opinion; or requests for opinions about untested alternative therapies will generally not be answered.
La participacion del Doctor Steve Natterstad en el
Foro de Tratamientos fue hecho posible gracias a Boehringer Ingelheim.
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BAJA CARGA VIRAL
Apr 8, 2008
Hola dr. en octubre del 2007 me entere que soy seropositivo. Mi pregunta es en los estudios que me hicieron en este mes de abril del 2008 sali con una carga viral de 2850 copias/mm y un recuento de cd4 de 356 el medico me dijo que el virus no se esta replicando con facilidad pero tambien me comento que podria tener un vih mutante por esa caracteristica para mi es raro tener un cd4 de 356 y una carga viral muy baja
¿cual es su perspectiva ante mi caso dr?
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Respuesta del Dr. Natterstad
Hola,
A la hora de decidir si empezar o no tratamiento, el recuento de las células CD4 sigue siendo el dato más importante. Las nuevas pautas utilizan el umbral de 350 células inferior al que se recomienda tratamiento. Varios expertos, incluyendo yo mismo, anticipan un umbral más alto, tal como 500, en un futuro próximo. Si tus CD4 rondan repetidamente las 350, el consenso actual de la mayoría de los expertos es que deberías pensar seriamente en empezar terapia, a pesar de tu carga viral.
Mucha suerte y un abrazo fuerte.
Dr. Steve
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