Q and A

Question

If my CD4 count is 1295, does it mean I no longer have HIV?

I am HIV positive. My first CD4 count was 685 and then it went up to 1295 does that mean I am healthy and is the virus cleared in my body?

Answer

Thank you for your question.

A CD4 count of 1295 is fantastic! However, unfortunately it does not mean HIV is cleared from your body. CD4 counts do fluctuate up and down. It could also be that you were recently infected and your CD4 count is increasing after the initial infection. For more information please follow this link.

The good news is that your immune system is very good as your CD4 count is so high.

What is your viral load result? Usually this would be detectable, even with a high CD4 count, though a small percentage of people (less than 0.01%) maintain a high CD4 count and undetectable viral load, without needing HIV treatment.

213 comments

  1. Josh Peasegood

    Hi Soni, have you been to speak to a doctor about oral candidiasis and these skin rashes?

    In the last 6 months have you had any further CD4 count tests? and do you know what your viral load is?

    Are you also on a treatment called co-trimoxazole? This is an antibiotic used to prevent other infections as your immune system is recovering.

  2. Soni

    I have oral candalisis and skin rashes from last six months my cD4 60 when I started treatment

  3. Josh Peasegood

    Hi Mary, how are you both doing? No you do not both have AIDS.

    AIDS is defined as having a CD4 count BELOW 200 AND you have an AIDS defining illness. As this is not the case for either of you, you do not have AIDS.

    Have you both started treatment? Treatment will allow your viral load to be suppressed and over time your CD4 count will be able to recover. Where are you based? Some countries recommend that you also use an antibiotic called co-trimoxazole to prevent any further infections as your immune system is recovering. This recommendation depends on your CD4 count. Some countries say below 200 and others 350.

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