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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Prognosis For A Person With HIV, Syphilis And Hepatitis B Infection?

HI, I have been diagnosed as HIV+ a year and a half ago with a Hep B co-infection. My initial CD4 count at time of diagnosis was around 470. I was put on ARV meds December last year ( after my DC4 dropped to 350) and was showing improvement until August this year ( about 9 month into my ARV treatment). May 2015: CD4- 578 with 28%; undetectable viral load August 2015: CD4 - 528 with 35 %; no info on VL November 2015: CD4 - 445 with 27%; no info on VL My Hep B is inactive and is looking good so far on lab results - below 10000 copies last checked in May. I also have Syphilis infection lasting before my HIV infection, and the numbers keep in the low 30 s which is not good according to my doctor. Please help me with advising me what this means for my health and my prognosis - I am really scared that I might be spiralling out of control down to AIDS. I have been taking my ARV regularly, but has been under a lot of stress at professionally and personally, been depressed and have high anxiety that I tried to cope with excessive amount of marihuana and hash. I would really appreciate your advise and your opinion. Thank you upfront for your help!
Wed, 22 Jun 2016
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Infertility Specialist 's  Response
hi healthcare magic user, it is sad to here about your history. please let me know about.VDRL titre in order to tell you prognosis since HIV is multisystem involving disease yes need to on healthy lifestyle. Viral load can increase any time please continue with ART.
Regarding you Syphilis status you should start with injection Benzathin Penicillin provided no allergy to penicillin group of antibiotics.
Please don't neglect any infection treat it, if neglected may lead to detoriation of condition.
please stop drug abuse can increase chances of superinfections.
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What Is The Prognosis For A Person With HIV, Syphilis And Hepatitis B Infection?

hi healthcare magic user, it is sad to here about your history. please let me know about.VDRL titre in order to tell you prognosis since HIV is multisystem involving disease yes need to on healthy lifestyle. Viral load can increase any time please continue with ART. Regarding you Syphilis status you should start with injection Benzathin Penicillin provided no allergy to penicillin group of antibiotics. Please don t neglect any infection treat it, if neglected may lead to detoriation of condition. please stop drug abuse can increase chances of superinfections.