12-05-2011, 06:11 AM
30-year-old HIV-infected man presents to your office for evaluation regarding starting of Anti-retroviral therapy. The patient’s most recent CD4 count was 460 cells/mm3 and HIV RNA level of 20,000 copies/ml. He has a history of Intravenos drug abuse. The patient was also noted to have elevated liver enzymes twice the upper limit of normal. During the work-up for his liver abnormalities, his Hepatitis C is negative but Hepatitis B surface antigen returns positive consistent with hepatitis B active infection. He has no HIV-related symptoms and has not had any AIDS-defining illnesses. The patient requests that he be started on Highly Active Anti-Retrovial therapy (HAART). Which of the following is the most appropriate indication for starting HAART in a HIV infected patient?
A) CD4 count of less than 500
B) HIV viral load greater than 50,000
C) Initiation of treatment for Hepatitis B co-infection
D) Renal Insufficiency with out proteinuria
E) All Reproductive age group HIV + women
hey dpes any 1 have any ideas regarding the indications to start haart in this case
A) CD4 count of less than 500
B) HIV viral load greater than 50,000
C) Initiation of treatment for Hepatitis B co-infection
D) Renal Insufficiency with out proteinuria
E) All Reproductive age group HIV + women
hey dpes any 1 have any ideas regarding the indications to start haart in this case