HIV – positive patient with a viral load of 750.000 copies of HIV RNA/ml and a total CD4 count of 50 is at an increased risk for a number of infectious diseases. For which of the following diseases the paitent has no added risk than an immune complete host?
Correct Answer: Pneumocystic pneumonia
Description: A low CD4 count does not predict progression to AIDS but does indicate increased chance of oppounistic infection such as those listed. Kaposi's sarcoma, which has been linked to herpesvirus typ 8, pneumocystis, and mycobacterial disease are three of the most prevalent oppounistic infections. While HIV- positive patients contract pneumococcal pneumonia, they are probably at no more risk than the general population, as protection against pneumococcal disease is linked to the presence of anticapsular antibody.
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