Initiating Treatment in Patients with Hepatitis B and HIV Coinfection
Last updated: November 1, 2011
45-year-old man with HIV infection presents for a routine visit. He is antiretroviral-naïve and has chronic hepatitis B that was diagnosed 5 years ago at the same time he was diagnosed with HIV infection. He feels well and avoids alcohol. His CD4 cell count has been in the 400 to 500 cells/mm3 range for the past several years, but recent labs were as follows:
CD4 cell count: 345 cells/mm3
Which of the following is the MOST APPROPRIATE statement regarding the management of this patient's hepatitis B infection?