title: Triple infection with HIV-1, HTLV-1 and Strongyloides stercoralis, rendering CD4+ T-cell counts a misleading entity.
abstract: We report the case of a Gabonese HIV-patient who presented with haemoptysis, weight loss, fulminant diarrhoea and subsequent ileus and elevated CD4+ T-cell counts. He was diagnosed with Strongyloides stercoralis and human T-lymphotrophic virus type-1 infection. After treatment of the strongyloides hyperinfection syndrome, his CD4+ T-cell counts dropped greatly. The initially elevated CD4+ T-cell counts were misleading to the clinicians with regard to decision-making on antiretroviral therapy initiation.
authors.affiliation: Center for Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Division of Internal Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
authors.forename: Saskia
authors.initials: S
authors.lastname: Janssen
authors.forename: Elie G
authors.initials: EG
authors.lastname: Rossatanga
authors.forename: Suzanne
authors.initials: S
authors.lastname: Jurriaans
authors.forename: Ineke J M
authors.initials: IJ
authors.lastname: ten Berge
authors.forename: Martin P
authors.initials: MP
authors.lastname: Grobusch
mesh_terms: D000328:Adult; D000818:Animals; D018791:CD4 Lymphocyte Count; D060085:Coinfection; D015658:HIV Infections / Q000175:diagnosis* / Q000188:drug therapy; D015497:HIV-1; D015490:HTLV-I Infections / Q000175:diagnosis* / Q000188:drug therapy; D015368:Human T-lymphotropic virus 1; D006801:Humans; D008297:Male; D017171:Strongyloides stercoralis; D013322:Strongyloidiasis / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome