01-02-2012, 10:12 AM
A 27-year-old man with HIV presents to your clinic to establish care. He believes he acquired his infection from a blood transfusion he received in sub-Saharan Africa while serving in the Peace Corps 3 years ago. He is currently asymptomatic and has a strong social support network. His examination is unremarkable. During the clinic visit, he asks about starting medical therapy for his HIV. His CD4+ T cell count is 450/mm3, and his HIV RNA level is 20,000 copies/ml.
Which of the following is an indication to initiate HAART?
1. CD4+ T cell count of less than 500/mm3
2. HIV RNA level of 50,000 copies/ml and a normal CD4+ T cell count
3. Oral thrush
4. HIV RNA level of 75,000 copies/ml and CD4+ T cell percentage of 28%
Which of the following is an indication to initiate HAART?
1. CD4+ T cell count of less than 500/mm3
2. HIV RNA level of 50,000 copies/ml and a normal CD4+ T cell count
3. Oral thrush
4. HIV RNA level of 75,000 copies/ml and CD4+ T cell percentage of 28%