title: Zero CD4 count: a case of discordant CD4 response in a patient with well suppressed viral load.
abstract: Human immunodeficiency virus (HIV) positive patients continue to have raise in CD4 cell for several years after initiation of anti-retroviral therapy (ART). The discordant response of static or fall in CD4 cells in presence of well-suppressed viral load is an unusual finding. In this communication, we present a case report of an HIV patient in whom the repeated CD4 enumerations consistently showed zero/nil CD4 counts before and after the start of ART in spite of maximum viral suppression.
authors.affiliation: Government Hospital of Thoracic Medicine, Center of excellence, HIV care and support, Tambaram Sanatorium, Chennai, Tamil Nadu, India.
authors.forename: K
authors.initials: K
authors.lastname: Raja
authors.forename: C
authors.initials: C
authors.lastname: Chandrasekar
authors.forename: O R
authors.initials: OR
authors.lastname: Krishnarajasekhar
authors.forename: G
authors.initials: G
authors.lastname: Manoharan
mesh_terms: D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D018791:CD4 Lymphocyte Count; D015496:CD4-Positive T-Lymphocytes / Q000276:immunology*; D006678:HIV / Q000302:isolation & purification*; D015658:HIV Infections / Q000188:drug therapy* / Q000276:immunology* / Q000821:virology; D006801:Humans; D008297:Male; D008875:Middle Aged; D019562:Viral Load
chemical_list: D044966:Anti-Retroviral Agents