Case of the Month: Managing PEP Side Effects

Case summary A physician asked about a 61-year-old female hotel housekeeper who had sustained a hypodermic needle exposure while cleaning a room that had been rented by known injection drug users. She had used tongs to pick up a visible syringe, but was stuck by two additional syringes that were trapped in the sheets. Several […]

Case of the Month: HIV and Hepatitis B Co-Infection

Case summary A physician asked about a 46-year-old man co-infected with hepatitis B (HBV) and HIV since 2004. This was the patient’s first office visit, and no previous medical records were available. The patient had developed anemia, possibly from zidovudine. The patient was taking tenofovir/emtricitabine/efavirenz (Atripla™), but had run out of medication two weeks prior […]