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How To Manage Toxoplasmosis And Hiv

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AIDS InfoNet

Toxoplasmosis

What Is Toxoplasmosis? Toxoplasmosis (toxo) is an infection caused by the single-celled parasite toxoplasma gondii . A parasite lives inside another living organism (the host) and takes all of its nutrients from the host. The most common illness caused by toxo is an infection of the brain (encephalitis). Toxo can also infect other parts of the body. Toxo can lead to coma and death. The risk of toxo is highest when your CD4 cell (T-cell) counts...
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Toxoplasmosis with CD4 count of 340 and Undetectable VL?

I was recently released from the hospital and am being treated for toxoplasmsosis. I am HIV-positive, but I have a CD4 count of 340, and my viral load has been undetectable for several years. I just ask, how could this happen? I've done...
Renslow Sherer, M.D.

Response from Renslow Sherer, M.D.

University of Chicago Hospitals
We are used to a threshold of 200 CD4 cells/ml for the development of the most severe opportunistic infections (OIs), but in fact there is a range of CD4 cell counts at which OIs such as toxoplasmosis (toxo) occur, and it can exceed 200 cells, and,... Read more »

toxoplasmosis and starting HIV treatment

I have just been diagnosed with toxo and HIV.My CD4 count is 5.Yet they tell me I cant start antiviral treatment for another 3 months...
David Wohl, M.D.

Response from David Wohl, M.D.

University of North Carolina - Chapel Hill
In general, this seems like not a great idea. While some people might be concerned that awakening your immune system by treating HIV might cause an over-reaction to the toxoplasmosis in your brain, I think waiting 3 months is too long. The... Read more »

hiv, aids, toxoplasmosis, epilepsy

Hello dear doctor and thank you very much for your answers here!I have hiv for about 6 years now, got diagnosed in august last year.I got toxoplasmosis in february this year and having epileptical attacks time to time.At the moment I'm taking...
Keith Henry, M.D.

Response from Keith Henry, M.D.

University of Minnesota, School of Medicine
Toxoplasmosis can result in seizures which can be recurrent. I have cared for numerous patientts with your condition. Daraprim is a treatment for toxoplasmosis which is often continued until CD4 count is consistently > 300-350 and there has been... Read more »

HIV- patient with toxoplasmosis

I'm a 21 year old male, HIV-, with a recent IgG toxo positive test as high as 1600, to avoid errors, I will be tested again. What I would like to know is how much risk of having what do I have?? and if is there treatment?...
Judith Feinberg, M.D.

Response from Judith Feinberg, M.D.

University of Cincinnati, College of Medicine
HIV-s can get infected with toxoplasmosis also. Unlike HIV+s whose toxo is almost always in the brain, HIV-s can have much milder forms of toxo. Typically toxo in this situation is associated with fever and swollen lymph nodes. Sometimes the... Read more »
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