Triple Infection with HIV-1,Htlv-1 and Strongyloides Stercoralis,Rendering Cd4 + T- C E L L Counts a Misleading Entity

We report the case of a Gabonese HIV-patient who presented with haemoptysis, weight loss, fulminant diarrhoea and subsequent ileus and elevated CD4⁺ T-cell counts. He was diagnosed with Strongyloides stercoralis and human T-lymphotrophic virus type-1 infection. After treatment of the strongyloides hyperinfection syndrome, his CD4⁺ T-cell counts dropped greatly. The initially elevated CD4⁺ T-cell counts were misleading to the clinicians with regard to decision-making on antiretroviral therapy initiation.