Please Note: Due to volume considerations, not all questions can be answered. Questions most likely to be answered will be those of general interest to a broad group of visitors to this forum. Questions pertaining to a specific case; requests for diagnosis, medical advice, or second opinion; or requests for opinions about untested alternative therapies will generally not be answered.
I have come here before for answers to questions and I was satisfied with the response. Here is my question, I started atripla with a CD4 count of 323 and V/L of 50,000 since March 06, 2009 and I have been 100% adherent. However, I responded great because my current CD4 is 574 and V/L is 647, but lately, my lymph nodes in my groin and neck are feeling tender and are swollen, as well, I have periodic low grade fevers. What could be the reason for this? I am schedule to see my ID doc on July 01 for another sets of lab. Should I be concerned and go before?
Thanks for your response.
I feel great
Advertisement
Response from Dr. McGowan
Thanks for your question.
Swollen, tender lymph nodes are not signs of a failing treatment regimen. These are usually signs of some inflammation in the body. It can be seen with certain infections. Since your CD4 count was not very low when you started your treatment some of the infections that can cause swollen glands with low CD4 count (such as MAI) would be much less likely. Most of these effects can be due to viral infections such as EBV or herpes simplex (especially the groin nodes), rarely tuberculosis or lymphoma (but usually a person would be more sick than you sound. You should mention the nodes to your doctor if they persist and decsribe any other symptoms you may have such as fevers, weight loss, sweats, rashes, etc.
If these nodes are a sign that your immune system is fighting back against HIV or another infection, that is a good sign even if the nodes do get uncomfortable. It will be the next step to find out what the body is reacting against.
Best,
Joe
Want to read more questions and answers on this subject? Our experts have answered many similar questions!
Please remember that this forum is designed for educational purposes only, and experts are not engaged through this
forum in rendering legal or medical advice or professional services. Experts appearing on this page are independent and are solely responsible
for editing and fact-checking their material. Neither The Body nor any sponsor is the publisher or speaker of posted visitors' questions or the experts' material.
Questions and messages posted to this forum are not statements of advice, opinion, or information of The Body, Body Health Resources Corporation or any sponsor of this
forum. While neither The Body nor Body Health Resources Corporation regularly reviews posted content, we reserve the right to delete, move, or
edit postings if we deem it appropriate under the circumstances. Visitors submitting questions remain solely responsible for the content of their
messages.
Information provided by experts is general only and should not be used for diagnosing or treating a health problem or a disease, or relied upon as
legal or other professional advice. This information is not a substitute for professional advice or care. If you have or suspect you may have a
health or legal problem, you should consult your own health care provider or your attorney.
E-Mail
Glossary
Response from Dr. McGowan
