Case 2:

The patient returns one week later for results of blood tests.   His history and physical exam are unchanged.   Laboratory results reveal:   Hgb = 13.0 g/dl, WBC 5,100 / mm 3 (77% PMN, 12% lymphocytes, 7% monocyte, 4% band), platelet count = 85,000.    CD4 = 350, CD8 = 1500; HIV viral load = 35,000 copies per ml;   RPR (-), Hepatitis B s Antibody (-), toxoplasma titer (-), PPD 5mm induration, AST = 105, ALT = 68.