Hi there<\/p>\n
It sounds like you are a doctor who has limited experience of HIV – although you didn’t say this explicitly, or include your country.<\/p>\n
My first response if to please contact one of the largest HIV hospitals in your country to seek specialist advice.<\/p>\n
Any CD4 count <200 is classified as very late diagnosis which increases the risk of serious complications from opportunistic infections. As the CD4 is actually much lower and <100 seeking expert advice from a doctor with this experience is urgent.This includes using prophylactic treatment until the CD4 count becomes much higher on ART.<\/p>\n
This person might easily have gut infections and\/or candida that explains low appetite,<\/p>\n
If this person started treatment with a CD4 count <50 there is also a risk of other serious infections being uncovered by HIV treatment. This is called IRIS and also needs careful monitoring.<\/p>\n
With proper care, the current HIV combination can be very effective for a long term recovery, including a much higher CD4 count, but they need expert care to diagnose current infections.<\/p>\n
Please contact HIV specialists in your country for advice including doctors at the closest large HIV clinic to consider admission to hospital.<\/p>\n
Please also email i-Base if you would like to discuss this further. Although we are not doctors, we caan suggest additional options.<\/p>\n