CD4 cells are a type of white blood cells (WBC), play a vital role in the immune system. The test to check the amount of these CD4 cells is called the CD4 count. These cells help fight viruses and bacteria entering the body by alerting other immune cells. HIV (human immunodeficiency virus) attacks and destroys these CD4 cells.
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I am not sick four years after exposure, but my CD4 count is high. Why?
Query: Hello doctor, I have a hypothetical question. Suppose I was one of the rare people who is incapable of producing antibodies to HIV-2. What would you expect my CD4 count to be after four years? And how sick would I be? Read Full »
Answer: Hello, Welcome to icliniq.com. I have noted your concern. Antibodies against HIV are not a very effective defense against this virus and though they may initially contribute in keeping the virus under check they eventually fail to do so. So your CD4 count would be lower than if you had antibodies... Read Full »
How to deal with the side effects of Atroiza?
Query: Hello doctor, I am an asymptomatic HIV positive male with a CD4 count of 320. I started on Atroiza and Cotrimoxazole two days back. But yesterday I drunk and could not sleep and sat outside at night because I could not breathe properly. My problem is, I am in holiday now. My night shift job starti... Read Full »
Answer: Hello, welcome to icliniq.com. Atroiza is a combination of three drugs (Efavirenz, Tenofovir DF, Emtricitabine) for the treatment of HIV. Among which, Efavirenz is the drug known to cause such side effects. These side effects of insomnia, vivid thinking, night time issues are temporary and would ... Read Full »
Does an increased WBC count after sexual intercourse suggest HIV infection?
Query: Hello doctor, I am a 28 year old male. I had an exposure with an unknown girl 43 days ago and the condom tore when my penis was still inside her vagina. The next morning, I saw a red mark on the tip of my penis. It disappeared in three days. I do not know the HIV status of the girl. I had done HIV 1... Read Full »
Answer: Hello, Welcome to icliniq.com. I have noted your concern. At one month, this test is 95 % sensitive. So, it is fairly accurate at this stage. However, since a condom break amounts to unprotected sex (high-risk exposure), ideally you should follow it up by a retest at 12 weeks for an HIV antibody whi... Read Full »
Can I get an HIV infection if my friend's blood in the ocean got into my open wound while swimming?
Query: Hello doctor, My friend and I had open wounds while divining in the ocean. My friend is HIV positive. Our wounds were not in contact. However, we were near each other in the water. Should I be worried about getting infected if my friend's blood in the ocean water got into my open wound as we were... Read Full »
Answer: Hi, Welcome to icliniq.com. 1) HIV (human immunodeficiency virus) virus cannot survive outside the human body. 2) For HIV to be transmitted, there needs to be sexual contact with HIV infected person, or it can be transmitted through blood transfusion or exchange of contaminated syringes o... Read Full »
Can CD4 count and viral load show changes everyday?
Query: Hi doctor, My father was diagnosed with HIV1 before five years. His initial CD4 count was 110 cells/mm3 and his viral load was 100000. After consulting the doctor, he started taking ART for six months. After that, his viral load became undetectable and his CD4 count got increased to 450 cells/mm3, a... Read Full »
Answer: Hi, Welcome to icliniq.com. There is an immunological and virological failure. If there is any resistance to the virus by the current medications, then this is the first virological failure indicated by an increase in viral load followed by a decline in CD4 count. So a fall in CD4 count occurs... Read Full »
Will CD marker help to diagnose blood cancer?
Query: Hi doctor, I am a 25-year-old male suffering from joint pain and pain in the knees. I also have nausea, vomiting, gynecomastia, upper abdominal pain, rhinorrhea, and blurred vision. These symptoms got increased over a year. I have severe itching during exercising or bathing and I also develop rashe... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have gone through the attached reports of CBC and flow cytometry (attachment removed to protect patient identity). Both of these reports does not suggest any blood cancer. CD (cluster of differentiation) marker is helpful in the identification of blood cancer and in t... Read Full »
What are the symptoms of the advanced stage of AIDS?
Query: Hi doctor,Eight months back, my best friend's husband, who is 53 years old, was diagnosed with positive HIV, hepatitis B and lymph node TB. He is taking proper medicine, but gained so much weight. Now, for over a week, he has been having cold and cough during evening. He is a smoker. Is he currently... Read Full »
Answer: Hi, Welcome to icliniq.com. Extra pulmonary tuberculosis, that is TB other than of the lungs is usually an indicator of poor immunity and can be seen in advanced stages of HIV. However, CD4 count also plays a very vital role in determining if the patient has a chance to recover from such in... Read Full »
Please give an opinion on my blood test report.
Query: Hello doctor, Should another consult with hematologist be conducted regarding no improvement on my blood work since last time? It appears that the folic acid and B12 vitamins are not exactly working. Now T cells are dropping as with CD4 and CD8. HIV remains undetectable whereby, I believe that is r... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Low CD count can be due to altered immune function or HIV. You have been investigated with the molecular tests for HIV. So after four to six weeks of exposure, it can definitely rule out HIV. If you have investigated early with a provided period then you have to rep... Read Full »
Could my HIV test be false negative as I got tested after six years of exposure?
Query: Hi doctor,I would like to begin with my dropped CD4 count of 350, which I had six years ago. Two weeks later, it raised to 398. The doctor said it could be entirely reasonable for a woman to have a count of CD4 around 400. The reason for dropping maybe due to a previous infection and stress. I had ... Read Full »
Answer: Hi, Welcome to icliniq.com. HIV infection has a window period of one or two months during which the tests can show false negative results. According to WHO (World Health Organisation), all results for HIV are considered conclusive at 12 weeks after the last exposure. As your tests are negative even... Read Full »
Post HIV exposure, I had rashes, diarrhea and now sinusitis. Have I contracted it?
Query: Hello doctor, Within 24 hours of an exposure to HIV, I had itchiness all over my body, especially around the inner thigh, knee, elbow, wrist, waist, and lower abdomen. I noticed a few pimple-like rashes around my inner thigh, probably due to scratching. But, my brother said that it looks like a sc... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity). There is no chance that you have been infected by the HIV (human immunodeficiency virus), as all the tests have come back negative. Also, you have recovered well from your fever without a treat... Read Full »