pneumocystis jiroveci revisited.
This afternoon session was of some clinical importance for those of us that look after patients whose CD4 count has never fully recovered despite many years of viral load below detection limits.
This Swiss cohort study produced elegant data with a combination of CD4 count and viral load as risk predictors of recurrent pneumocystis pneumonia.( H. Furrer)
This is consistent with the theme apparent in a lot of the presentations at this conference, of the ongoing problems associated with immune dysregulation from persistent viraemia.
In summary, patients with a CD4 count of 100 and persistent viral loads below detection limits have less risk of pneumocystis pneumonia than patients with a viral load of 400 and persistent moderate level viraemia. When I get hold of the elegant graphs I will try to post them.