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Author Topic: Shingles of an HIV poz not on ARVs  (Read 2490 times)

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Offline novemberguy

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Shingles of an HIV poz not on ARVs
« on: March 30, 2014, 09:43:22 AM »
Hi, Ive been pos for 4 years (since 2010). And since then my CD4cell never got below 350. My last CD4 count was in Oct and it was 469. because of this I am not yet on ARVs. However, Just now I have been diagnosed with Shingles (Im on my 3rd day since the symptoms showed up. I started my meds for shingles yesterday, prescribed by a dermatologist). My next CD4 count is on May (since it is being monitored in the HIV hub every 6 months or 2x/year). My question is, why did I have shingles?given the fact that my cd4 count is above 400. And do I need to be in ARVs now because HIV symptoms are showing up even if my cd4 count is within normal limits?

Anyone who had similar experience? Or any doctor in this form? Please help me. 

Offline RapidRod

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Re: Shingles of an HIV poz not on ARVs
« Reply #1 on: March 30, 2014, 09:46:07 AM »
Hi, Ive been pos for 4 years (since 2010). And since then my CD4cell never got below 350. My last CD4 count was in Oct and it was 469. because of this I am not yet on ARVs. However, Just now I have been diagnosed with Shingles (Im on my 3rd day since the symptoms showed up. I started my meds for shingles yesterday, prescribed by a dermatologist). My next CD4 count is on May (since it is being monitored in the HIV hub every 6 months or 2x/year). My question is, why did I have shingles?given the fact that my cd4 count is above 400. And do I need to be in ARVs now because HIV symptoms are showing up even if my cd4 count is within normal limits?

Anyone who had similar experience? Or any doctor in this form? Please help me.
You've had chicken pox's, that is the only way you can get shingles. Shingles has nothing to do with HIV.

Offline xinyuan

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Re: Shingles of an HIV poz not on ARVs
« Reply #2 on: March 30, 2014, 10:17:11 AM »
You've had chicken pox's, that is the only way you can get shingles. Shingles has nothing to do with HIV.

Yes and no. 2 different viruses, yes.

However, HIV can and does drop the CD4's. This allows a greater chance for the varicella virus to become active. It can then go on to cause shingles upon reactivation of CD4's with ART. So, HIV can predispose one to developing it.

 http://www.aidsinfonet.org/fact_sheets/view/509

Online Jeff G

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Re: Shingles of an HIV poz not on ARVs
« Reply #3 on: March 30, 2014, 10:20:37 AM »
Yes and no. 2 different viruses, yes.

However, HIV can and does drop the CD4's. This allows a greater chance for the varicella virus to become active. It can then go on to cause shingles upon reactivation of CD4's with ART. So, HIV can predispose one to developing it.

 http://www.aidsinfonet.org/fact_sheets/view/509

Its not an aids defining condition or specific to hiv ... its an important point .

Offline RapidRod

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Re: Shingles of an HIV poz not on ARVs
« Reply #4 on: March 30, 2014, 11:38:28 AM »
Yes and no. 2 different viruses, yes.

However, HIV can and does drop the CD4's. This allows a greater chance for the varicella virus to become active. It can then go on to cause shingles upon reactivation of CD4's with ART. So, HIV can predispose one to developing it.

 http://www.aidsinfonet.org/fact_sheets/view/509
The virus that causes chicken pox's is the same virus that causes Shingles. Stress alone can cause Shingles to appear, you do not have to have a low CD4 to have a Shingles outbreak.

Offline J.R.E.

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Re: Shingles of an HIV poz not on ARVs
« Reply #5 on: March 30, 2014, 04:09:37 PM »
Neon,...


Here's a lesson on Shingles ( from this site ) I've had them about 3 times over the past 29 years.  twice, not on MEDS,  once, shortly after starting on MEDS.

My first case Shingles was 4 years after I was infected, in 1985 ( Not on meds yet).  I also believe mine was due to stress and working two jobs at the time.

Your Doc is doing the right thing by getting you on medication for the shingles as soon as possible. Hopefully you will be over them quickly.

Just to reiterate, If you had chickenpox, the shingle's virus has been with you since that time :


 http://www.aidsmeds.com/articles/Shingles_6797.shtml



Take care---Ray



Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 12.5mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


 In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started my first  HAART regimen  on October 24th,03.

 As of 8/2514,  t-cells are at 402, Viral load <40

 Current % is at 11%

  
 62 years young.

Offline J.R.E.

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Re: Shingles of an HIV poz not on ARVs
« Reply #6 on: March 30, 2014, 05:53:04 PM »

I must have had another thread on my mind at the time, because I placed " Neon's",...  name in my reply, when I meant to respond to " Novemberguy".   :P

I couldn't go back to edit...


Ray   :P
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 12.5mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


 In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started my first  HAART regimen  on October 24th,03.

 As of 8/2514,  t-cells are at 402, Viral load <40

 Current % is at 11%

  
 62 years young.

Offline xinyuan

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Re: Shingles of an HIV poz not on ARVs
« Reply #7 on: April 01, 2014, 07:25:17 PM »
Its not an aids defining condition or specific to hiv ... its an important point .

I completely agree on this point.

The virus that causes chicken pox's is the same virus that causes Shingles. Stress alone can cause Shingles to appear, you do not have to have a low CD4 to have a Shingles outbreak.

True. Other factors, such as stress and aging, can contribute to a greater tendency to outbreaks. But having low CD4's, and even immune reconstitution, can also contribute.

Not specific to it, but can be aggravated by it.

Offline novemberguy

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Re: Shingles of an HIV poz not on ARVs
« Reply #8 on: April 03, 2014, 07:23:56 AM »
Thank you guys for the replies. So what would you recommend to me? Should I now start my ARVs even if my cd4 is still above 400?Since I already had shingles which is a sign of low fluctuating cd4. I am just scared that this might happen again (having shingles) which is very hard. Having pain from shingles is very disabling & nuisance... ='(

Offline J.R.E.

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Re: Shingles of an HIV poz not on ARVs
« Reply #9 on: April 03, 2014, 09:25:08 AM »
Hi November,...


My suggestion is to wait until May, for your next blood tests, and lets see what those tests numbers are, how the trends are moving, and then have that discussion with your doctor.  How has your viral load been on these tests?

Have you had any other ailments going on ?

http://www.aidsmap.com/CD4-cell-counts/page/1327484/#item1327489


CD4 cell count above 350 – monitor, and start treatment in some circumstances

If your CD4 cell count is above 350, generally you won’t need to be on HIV treatment. Your CD4 cell count will be monitored regularly, probably every four to six months. As your CD4 cell count starts to approach 350, your doctor may want to monitor you every three months.

In some situations, your doctor may recommend you start treatment when your CD4 cell count is still above 350. These include:

    If you are also infected with the hepatitis B or C viruses, as liver disease becomes worse when the CD4 cell count is lower.
    If you have heart problems or kidney disease.
    If you are having treatment for cancer.
    If you are older (for example, over 50).
    If you want to start treatment because you are concerned about the risk of passing on HIV to someone else (treatment reduces the risk of HIV being passed on).
    If you are ill because of HIV.
    In some cases, if it is clear you have been very recently infected with HIV.




Take care--Ray
« Last Edit: April 03, 2014, 09:29:33 AM by J.R.E. »
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 12.5mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


 In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started my first  HAART regimen  on October 24th,03.

 As of 8/2514,  t-cells are at 402, Viral load <40

 Current % is at 11%

  
 62 years young.

Offline xinyuan

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Re: Shingles of an HIV poz not on ARVs
« Reply #10 on: April 03, 2014, 10:52:25 PM »
JRE,

We've butted heads on when to start ART before.

I'll simply leave US and WHO guideline recommendations. They are A level (STRONG) recommendations for starting ART below CD4 500. 

Level I evidence (data from randomized trials) for <350.

Level II evidence (well designed observational or non-randomized trials) for 350-500.

http://aidsinfo.nih.gov/guidelines

http://www.who.int/hiv/pub/guidelines/arv2013/intro/rag/en/index2.html


If you're going to argue with me again about toxicity of ART's, we are no longer in the era of only toxic NRTI's and early PI's.



Studies released during CROI 2014 are pushing more doctors to reconsider starting earlier. Especially to prevent HIV from establishing more entrenched reservoirs. Elimination of reservoirs is the current holy grail of curing HIV.

http://www.poz.com/articles/CROI_highlights_401_25406.shtml

Offline eric48

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Re: Shingles of an HIV poz not on ARVs
« Reply #11 on: April 04, 2014, 04:47:17 PM »

If you're going to argue with me again about toxicity of ART's, we are no longer in the era of only toxic NRTI's and early PI's.

Take this comment, Put it in liquid nitrogen and permafrost it

In a few years when you are diabetic before reaching 40
And on statins like a 60 years old

(Not to mention that you are broke)

Then you can reflect wisely about what you have written

By nature, inhibitors are not specific to one only enzyme and even this this were the case that enzyme is not specific to CD4s

On the long range, other cell will suffer from years and year of continuous exposure to inhibitors

My 2 cents

Mobile.eric
NVP/ABC/3TC/... UD; CD4 > 1000; CD4/CD8 ~ 2.0   safety stock : 2 months

Offline buginme2

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Re: Shingles of an HIV poz not on ARVs
« Reply #12 on: April 04, 2014, 04:58:00 PM »
Most of the advice in this thread is bullshit.

November, how old are you?  I ask because shingles usually strikes older people and if you are over fifty then you should be started on meds regardless of what "your numbers" are.

Offline eric48

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Re: Shingles of an HIV poz not on ARVs
« Reply #13 on: April 04, 2014, 05:07:01 PM »
Thank you guys for the replies. So what would you recommend to me?
Are you asking for a medical recommandation on a patient' forum ?

No doctors here...

Hope this helps

E
Mobile.eric
NVP/ABC/3TC/... UD; CD4 > 1000; CD4/CD8 ~ 2.0   safety stock : 2 months

Offline J.R.E.

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Re: Shingles of an HIV poz not on ARVs
« Reply #14 on: April 04, 2014, 07:19:18 PM »
 Hi Novemberguy,..

I won't back away from what I've stated to you. I would still wait until your blood tests in May, and then have this discussion with your Doctor. I only share my experiences and what I have personally dealt with over these past 29 years.

As I've stated earlier, I had shingles at least 3 times. The first time was in 1989,
( At age 37)  four years after I was diagnosed positive.  I also have no idea what my t cell count was then.

In 1999, my tcell count was about 900. By 2003, t cells were at 16, and about two months prior to starting on medication in October/2003, I had my second bout of shingles. It wasn't as severe as the first time. The first time was a real crippler, and took a good 3 weeks to get over them.

The last time was about two or three weeks after starting on treatment in 2003. I am sure this case was brought by immune reconstitution. I will also restate, that I have not had another case of shingles since Dec/ 03.

Believe me, I know how painful they are, and the scarring that can occur, because of them.  I still have several areas on my back and stomach, about the size of a half dollar, that have no feeling, when touched.

Besides getting them on the torso ( which is where I had them ) You can also get them on the face.  This is where it can get dangerous, because you don't want to get them in your eyes, as it can cause permanent scarring of the cornea.

Make sure to communicate to your Doctor. Let him/her know all of your concerns. This is the best thing you can do.

Take care of yourself
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 12.5mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


 In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started my first  HAART regimen  on October 24th,03.

 As of 8/2514,  t-cells are at 402, Viral load <40

 Current % is at 11%

  
 62 years young.

Offline RapidRod

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Re: Shingles of an HIV poz not on ARVs
« Reply #15 on: April 04, 2014, 07:49:38 PM »
I know quite a few people that had shingles in their 30s and a girl at 28 and none of them are HIV positive.

Offline eric48

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Re: Shingles of an HIV poz not on ARVs
« Reply #16 on: April 05, 2014, 02:02:01 AM »
Hi Novemberguy,..

I won't back away from what I've stated to you. I would still wait until your blood tests in May, and then have this discussion with your Doctor.

Make sure to communicate to your Doctor. Let him/her know all of your concerns.

Sounds a reasonnable advise to me

Mobile.eric
NVP/ABC/3TC/... UD; CD4 > 1000; CD4/CD8 ~ 2.0   safety stock : 2 months

Offline eric48

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Re: Shingles of an HIV poz not on ARVs
« Reply #17 on: April 05, 2014, 05:21:42 PM »
I know quite a few people that had shingles in their 30s and a girl at 28 and none of them are HIV positive.

So we have
1 case of Shingles (Novemberguy)
3 cases of Shingles (Ray)
a few + 1 cases of Shingles (RapidRod)

Did thoses cases of Shingles occurs at a time when the Shingles patients (NG, R. RR friends) where more or less in close contact with someone who is : HIV+ AND recently started meds,  (in otherwords Hiver + Intiating) ?

I was wondering

Eric
NVP/ABC/3TC/... UD; CD4 > 1000; CD4/CD8 ~ 2.0   safety stock : 2 months

Offline bocker3

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Re: Shingles of an HIV poz not on ARVs
« Reply #18 on: April 05, 2014, 05:31:10 PM »
So we have
1 case of Shingles (Novemberguy)
3 cases of Shingles (Ray)
a few + 1 cases of Shingles (RapidRod)

Did thoses cases of Shingles occurs at a time when the Shingles patients (NG, R. RR friends) where more or less in close contact with someone who is : HIV+ AND recently started meds,  (in otherwords Hiver + Intiating) ?

I was wondering

Eric

Wait....  WHAT????

Who cares if someone who came down with shingles had recently been in close contact to someone HIV+??  whether or not they had recently started ARVs?  Apples and oranges.....  unless you are insinuating contact with a poz person causes shingles???  Sometimes I simply can't follow anything that you type......

M
Atripla - Started 12/05
Reyataz/Norvir - Added 6/06
Labs - Pre-Meds
Sep05 T=350/25% VL98,559
Nov05 288/18%  47,564
Current Labs
May2013 691/31% <20

Offline J.R.E.

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Re: Shingles of an HIV poz not on ARVs
« Reply #19 on: April 05, 2014, 05:40:01 PM »
Hi Eric,


I am not quite sure I understand your question, but this I can tell you for sure,  I have been with my partner for almost 34 years, He is HIV negative. He has also had chicken pox as a child, so he already has the virus in him. He has never had shingles.

We have always slept in the same bed, during the three outbreaks of shingles that I had. He never got  shingles or ill from my shingles.  :)



Ray
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 12.5mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


 In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started my first  HAART regimen  on October 24th,03.

 As of 8/2514,  t-cells are at 402, Viral load <40

 Current % is at 11%

  
 62 years young.

Offline Ann

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Re: Shingles of an HIV poz not on ARVs
« Reply #20 on: April 05, 2014, 07:21:30 PM »
I also had shingles while poz - and I can tell you for certain that it had nothing to do with being poz and everything to do with having had chicken pox as a child, and starting a full-time job after being treated (successfully) for hep C. I was under a lot of pressure job-wise, which included travel and overnight hotel stays for training purposes. It was stress pure and simple. NOT hiv!

I've also known plenty of hiv negative people who had shingles; the oldest was 85 and the youngest was 25, with other ages in-between. All the younger people got shingles when they were otherwise stressed out - and not from contact with hiv positive people. As if! Jeeze Eric, how do you come up with this nonsense?
« Last Edit: April 05, 2014, 07:23:48 PM by Ann »
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Online Miss Philicia

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Re: Shingles of an HIV poz not on ARVs
« Reply #21 on: April 05, 2014, 09:01:53 PM »
Jeeze Eric, how do you come up with this nonsense?

I could make some suggestions if you'd like.
"I’ve slept with enough men to know that I’m not gay"

Offline novemberguy

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Re: Shingles of an HIV poz not on ARVs
« Reply #22 on: April 06, 2014, 08:45:18 AM »
I am 27 years old only...

Most of the advice in this thread is bullshit.

November, how old are you?  I ask because shingles usually strikes older people and if you are over fifty then you should be started on meds regardless of what "your numbers" are.

Offline eric48

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Re: Shingles of an HIV poz not on ARVs
« Reply #23 on: April 06, 2014, 09:07:31 AM »
This document here seems authoritative enough

http://tinyurl.com/mhtsab7

Guidelines for the Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents

ans seem to address some of the OP's concern, such as
Should I now start my ARVs

Notably this:

Antiretroviral therapy (ART) has not been shown to reduce the incidence of herpes zoster in adult populations

Hope this helps

Eric
NVP/ABC/3TC/... UD; CD4 > 1000; CD4/CD8 ~ 2.0   safety stock : 2 months

Offline eric48

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Re: Shingles of an HIV poz not on ARVs
« Reply #24 on: April 06, 2014, 09:09:44 AM »
and this
The incidence of herpes zoster is >15-fold higher for HIV-infected adults than for age-matched controls.1 Herpes zoster can occur in HIV-infected adults at any CD4 T lymphocyte (CD4) cell count, ...

Eric
NVP/ABC/3TC/... UD; CD4 > 1000; CD4/CD8 ~ 2.0   safety stock : 2 months

Offline eric48

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Re: Shingles of an HIV poz not on ARVs
« Reply #25 on: April 06, 2014, 10:44:08 AM »
My question is, why did I have shingles?

Are you satisfied with what you have learned since you asked ? Eric
NVP/ABC/3TC/... UD; CD4 > 1000; CD4/CD8 ~ 2.0   safety stock : 2 months

Offline MrPOZ

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Re: Shingles of an HIV poz not on ARVs
« Reply #26 on: April 07, 2014, 01:12:17 PM »
My question for this thread is should HIV+ people who have already had shingles get the shingles vaccine to prevent a second outbreak?  I have brought this up to my Dr. and he said he would look into it and he hasn't gotten back to me. I am on ART and close to being undetectable since being diagnosed on January 17, 2014 and starting meds on Feb. 7.

1/27/2014 CD4 200, VL 169K
3/17/2014 CD4 323, VL 94
Diagnosed 1/17/2014 VL 157K CD4 200
Start Stribild 2/7/2014
3/23/14   VL  95 CD4 323
4/28/14   VL<48 CD4 300

Offline RapidRod

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Re: Shingles of an HIV poz not on ARVs
« Reply #27 on: April 07, 2014, 02:42:37 PM »
This document here seems authoritative enough

http://tinyurl.com/mhtsab7

Guidelines for the Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents

ans seem to address some of the OP's concern, such as
Should I now start my ARVs

Notably this:

Antiretroviral therapy (ART) has not been shown to reduce the incidence of herpes zoster in adult populations

Hope this helps

Eric
It's to bad that you can't comprehend what you read.

Offline Bizkits

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Re: Shingles of an HIV poz not on ARVs
« Reply #28 on: April 09, 2014, 09:57:08 AM »
According to the CDC Guidelines, it is recommended that hiv+ patients (or others who are immunocompromised) receive this vaccine even after the first outbreak; While typically only one episide is had in a lifetime, there can be up to 2 or 3.  Only if you're over 60, though. The CDC has no recommendation for ages 50-59.

(Where it gets tricky is if you've never had the chicken pox. You should not receive this vaccine if you've never had the chicken pox, hiv+ or not. To my knowledge, there is no way for you to develop shingles (herpes zoster) if you've never been exposed to the herpes varicella virus. 

However, sickness (especially in immunocompromised patients), stress, certain medications can cause it's onset more easily. 

clear as mud?

http://www.cdc.gov/vaccines/vpd-vac/shingles/vacc-need-know.htm

Offline MrPOZ

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Re: Shingles of an HIV poz not on ARVs
« Reply #29 on: April 09, 2014, 11:43:45 AM »
Bizkits, When I read the link you posted it said people who are HIV+ or immunocompromised should NOT receive the vaccine.  Am I missing something?
Diagnosed 1/17/2014 VL 157K CD4 200
Start Stribild 2/7/2014
3/23/14   VL  95 CD4 323
4/28/14   VL<48 CD4 300

Offline Bizkits

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Re: Shingles of an HIV poz not on ARVs
« Reply #30 on: April 09, 2014, 12:05:50 PM »
That is a good point I should clarify, as far as it has been explained and is understood to us in our clinic, ONLY if you are in an immunocompromised state would we not give it. You can have hiv and not be in an acute immunocompromised state. If you are otherwise healthy, you are good to go.

Offline WowThatWasLifeChanging

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Re: Shingles of an HIV poz not on ARVs
« Reply #31 on: April 23, 2014, 02:43:20 PM »
Where I live (US) I went to doctor because of shingles and the Center for Disease Control (CDC) required a HIV test because of the shingles. Which of course came back positive. My shingles are 3 weeks old and my pos dx is 8 days old. Shingles are just scars now after way too many antibiotics for 10 days. I am also asking for the vaccine. I have not started HIV meds. BTW, I am 34 yr old healthy woman. It is true if you had the chicken pox that the virus is always active so it came come back again. MOST pple who get shingles not related to HIV are 50+, according to the CDC.

Online mecch

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Re: Shingles of an HIV poz not on ARVs
« Reply #32 on: April 23, 2014, 02:56:19 PM »
WowThatWasLifeChanging - if you took pills for the shingles they were probably antivirals, not antibiotics...
Glad you got that under control quickly...
“From each, according to his ability; to each, according to his need” 1875 K Marx

Online Jeff G

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Re: Shingles of an HIV poz not on ARVs
« Reply #33 on: April 24, 2014, 01:40:36 PM »
I think it may be worth pointing out that the cdc may advise HIV testing but its not a requirement . 

Offline WowThatWasLifeChanging

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Re: Shingles of an HIV poz not on ARVs
« Reply #34 on: April 28, 2014, 05:32:50 PM »
The meds for shingles was ayciclovir. (Sp?)

Interesting the cdc suggests the test for shingles but not when you have the flu. Thinking thats stupid of them.

It took my shingles rash 3 weeks to go away. Its a mere discoloration of my skin now and burns. Apparently this is temp also.

Also, my cd4 is 451 and vl is 52,000 and my ID has suggested I begin treatment which I guess Im doing tomorrow. Also asking for shingles vaccine so i never het again. It did suck.

Offline novemberguy

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Re: Shingles of an HIV poz not on ARVs
« Reply #35 on: May 05, 2014, 09:55:17 AM »
Hi Everyone, ALL of your replies are very much appreciated, That I feel I need to update all of you.

1. My shingles only lasted for 4 days, I started taking anti-virals the day after the rashes appeared prescribed by my dermatologist.
2. But the black scars/shrunken rashes (i don't know what you call that) lasted for 1 week. and on the 2nd wk its already flat, as if a pimple scar only.
3. I just had my CD4 count checked today and its 379. I'm still not on Meds as the protocol here in the Philippines is to take the meds if CD4 is below 350. So I'm just scheduled for another CD4 count after 6 months.
4. My previous CD4 count (6months ago) was 469. I think it dropped -90 because of this shingles a month ago. My derma told my immune system is down because of the viral infection (herpes zoster). Remember this shingles was happened on the last week of March. So my body still didn't have ample of time to recover before my scheduled cd4 count which is today May 5.

Any thoughts guys? Are my presumptions correct?
« Last Edit: May 05, 2014, 09:58:22 AM by novemberguy »

 


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