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Ask the Experts about Women and HIV

 

UNDETECTABLE
Aug 21, 2006

I was just diagnosed in may 06- I decided to test after i had a recurrent yeast infection which cleared for a day or two and returned in a month duration followed by swollen lymph nodes in the groin(occurred in apr -06). At first I suspected a STD and was tested for everything except HIV( fear of results) Then after everything else was negative I went ahead for HIV test and that was it. I just received my first lab results 08/06 which indicates my t cells count is 758 and viral load undetectable without any treatment. Is it possible that I was recently infected when the lymph nodes were swollen( for about 10-15 days) or is it possible I had HIV longer. From what I read so far it seems higher viral loads are associated with new infections. fyi my last negative HIV was late 2004. Other than that I have not had any symptoms I can remember prior to the test or since the YI cleared in may. Also how long can one stay undetectable without meds?

Response from Dr. Luzuriaga

While it's possible that the symptoms you describe represented a primary infection syndrome, the swollen inguinal nodes are likely related to a more localized process; in addition, the undetectable viral load suggests that you have probably been infected for a longer period of time. Your CD4 count and viral load suggest that you are handling the infection quite well at present without medication and may continue to do so for some time. A small group of HIV positive individuals (less than 1%) of infected individuals control their virus to undetectable levels and maintain normal CD4 counts for 10 years or more without medication (sometimes called "elite controllers"). However, because we don't have good tests to predict an individual's risk of progression, routine follow-up (every 3-6 months) will be important.



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