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Chest Infections

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daveR:
Hi,
I have had a chest infection for a while now. Started off as just a cough, then tightness in the chest and shortage of breath. X-ray showed a lung infection in both Lungs and they never told me the blood test results. The Dr, not my usual HIV Dr, has opted for a bacterial pneumonia infection. So far I have had 4 x Avelox 400 mg intravenous treatments with daily oral antibiotics clarithromycin for an additional 3 days. 7 days of treatment. X-ray getting worse, cough getting worse. Since being positive and on meds I have had 2 cases of acute Bronchitis and now this. My CD 4 count since starting treatment has always been normal, 40-42%.

So far after the initial antibiotics they have given me another 7 days supply and then want to repeat the X-ray a week after I finish the course

I have done my "internet research" with our good friend who knows everything, Google, and I am still confused as a lot of the information refers to pre ART days. Does anybody have experience of this, are we as a group more susceptible to Lung issues even if we have good numbers? I was lucky to be diagnosed with a CD4 count 0f 330 at 30% so my immune system was reasonable before I started ART.


Thanks
Dave

Jim Allen:
Hiya.

Sorry to hear that you are unwell and hope you feel better soon.

I'm on my phone now, so I'll edit and add links to my post later as a reference in short, post-HAART era rates of pneumonia dropped significantly under the population living with HIV. However, we still are in a higher risk group. Also, CD4 doesn't measure overall health or capture all the damage done to the rest of the body before treatment started.

I'm convinced that my CD4s are lazy little fuckers.  ;D Anyhow, I hope you feel better soon.


daveR:
Thanks for that confirmation Jim.

The Google stuff I found was either old or just to technical to give me the basic yes or no style answer I was looking for. I don't pretend to be a medical expert or lab technician, I prefer the simple straight forward explanations.

I shall just persist with the antibiotics.

leatherman:
Ugh. sorry to hear about the pneumonia.

I was hospitalized twice with it (and nearly a third time) and it sucks. The recovery can suck too because no one likes to be "half sick" for an extended amount of time.

PLWH have a higher risk of pneumonia even with good numbers, although it's more likely with not-so-good numbers. The biggest change from the 80s-90s to now, is back then we were more likely to have PCP (an AIDS related pneumonia) while now (with more people tested early and/or in treatment) it's more likely to be "regular" pneumonia. Of course, age and/or being in the hospital with another condition, exhaustion, stress, poor nutrition, etc. can up the odds a little more too.


--- Quote from: daveR on October 08, 2022, 11:38:16 am ---I shall just persist with the antibiotics.

--- End quote ---
that's all you can do, whether your numbers are good or bad; or whether you're HIV+ or HIV-.

Hope you get to feeling better soon!

Jim Allen:

--- Quote from: daveR on October 08, 2022, 11:38:16 am ---Thanks for that confirmation Jim.

The Google stuff I found was either old or just to technical to give me the basic yes or no style answer I was looking for. I don't pretend to be a medical expert or lab technician, I prefer the simple straight forward explanations.

I shall just persist with the antibiotics.

--- End quote ---

You're welcome.

Do hope you feel better soon, and ill add the references tomorrow to my post. It's late here, and I should already be in bed.

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