Is it normal to have neck pain and headache with CD4 count 466 in HIV patient?

Question

Hello doctor,

I was diagnosed with HIV (Human Immunodeficiency Virus) four months back and started ARV (Anti- retroviral) immediately by the count of CD4 baseline 466 and been experiencing shingles in the same month. One month before that, my result was NR(Not Reliable). Just a week ago, my neck started to pain, accompanied with a slight to moderate headache and my lips are twitching and it is so hard for me to wake up in the morning. What should I do? Is this normal? I am taking LTE (Efavirenz, lamivudine and tenofovir) and Isoniazid for anti-Tb but I do not have Tb(Tuberculosis).

Answer 1

Hi, Welcome to icliniq.com.

With CD4 at 466, it is very rare to get brain infections to cause a headache and as you are not having a fever, this headache has no relationship with HIV or OI (opportunistic infection). Neck pain is maybe a sprain or due to HIV induced myalgia. HAART (highly active anti-retroviral therapy) treatment would be sufficient and simple Aceclofenac is enough. Efavirenz has a tendency to cause heaviness in the morning. It is due to a drug. Nothing to worry. Isoniazid is given to clear latent TB infection. Complete the course.

Is it normal to have neck pain and headache with CD4 count 466 in HIV patient?

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