title: An unexpected undetectable viral load in a vulnerable woman.
abstract: We present a case of a vulnerable HIV-positive African woman who on initial visits to the clinic had an undetectable HIV viral load without giving a history of being on antiretroviral therapy (ART) who then had an abrupt and significant rise in viral load and fall in CD4 count to below the recommended treatment level of 350 cells/μL. She gave a history of having been given a 'white tablet' from the man who had trafficked her. As genuine 'elite controllers' are rare and do not usually follow this pattern, we suspect that this woman was unknowingly on ART.
authors: Brownlee Infectious Disease Centre, Gartnavel General Hospital, Sandyford Initiative, Glasgow, UK. gillian.fraser@ggc.scot.nhs.uk
authors: G
authors: G
authors: Fraser
authors: F
authors: F
authors: Fargie
mesh_terms: D000328:Adult; D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D018791:CD4 Lymphocyte Count; D003068:Coercion; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000188:drug therapy / Q000523:psychology / Q000821:virology*; D006801:Humans; D006113:United Kingdom; D019562:Viral Load; D035862:Vulnerable Populations; D015030:Zimbabwe
chemical_list: D044966:Anti-Retroviral Agents