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Declining CD4 count, despite viral suppression?

A 22 year old female, who was diagnosed as HIV positive 18 months ago and has been on antiretroviral treatment since diagnosis. Although she had been doing well she recently started complaining of nausea and abdominal pains.

Acknowledgement
This case study was kindly provided by Dr Harry Moultrie, Director of Enhancing Children’s HIV Outcomes (ECHO), University of the Witwatersrand and Dr Monica Mercer from Immunopaedia

Course Content

History
Differential Diagnosis for Declining CD4 Count
Examination and Investigation
Discussion
Final Outcome
References
Evaluation – Questions & answers