Abstract
A 25-year-old previously healthy woman is found to have a positive test for human immunodeficiency virus type 1 (HIV-1) antibody as part of a routine examination for insurance coverage. Heterosexual contact is her only risk factor for HIV acquisition. She is asymptomatic and has a normal physical examination. The results of routine hematologic and laboratory tests are normal. Her CD4 cell count is 325 per cubic millimeter and her plasma HIV-1 RNA level is 60,000 copies per milliliter. How should her case be managed?
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