ABSTRACT
A 21-year-old university student attends the genitourinary medicine (GUM) clinic requesting a sexually transmitted infection screen as her previous boyfriend has recently been diagnosed with human immunodeficiency virus (HIV) infection. She is completely asymptomatic and otherwise fit and healthy. She is found to be HIV positive. Her CD4 count is 1000 cells/mm3. Swabs for other sexually transmitted infections are negative. She is counselled fully about the diagnosis. What is the most suitable next step in her management? G Treatment is not indicated in asymptomatic patients with a CD4 cell count of
greater than 350 cells/mm3.
