Question

If an HIV positive individual has followed treatment exactly as recommended becomes ill with flu-like symptoms and seems to be getting worse instead of better, what is the most likely situation?

Answer 1

The individual's CD4+ count should be tested right away because an opportunistic infection in a person with HIV is a sign that the infection may have developed into AIDS.

Hope that helps :P

Answer 2

Since the patient had recently initiated antiretroviral therapy, it could be the suspicion of an inflammatory immune reconstitution syndrome, and a differential diagnosis would be needed to determine the most likely type of opportunistic infections and neoplasms.

Step-by-step explanation:

Inflammatory immune reconstitution syndrome can be defined as the onset or worsening of pre-existing infections, autoimmune diseases, and is a consequence of the restoration of the antigen-specific immune response prompted after starting the antiretroviral treatment seen in some HIV positive patients. It is very difficult to know the incidence of this syndrome.