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Case of the Month: Possible Acute HIV Infection

Case Summary A doctor called the HIV/AIDS Management Service to ask about an 18-year-old male who had been diagnosed with syphilis and was presenting to clinic with low-grade fever, pharyngitis, and cervical adenopathy. The patient had had unprotected receptive anal intercourse with another male three to four weeks prior to the time of the call. […]

Case of the Month: ARVs and Dizziness

Case Summary A physician calls the CCC HIV/AIDS Management Service about a 33-year-old HIV-positive man whose occupation requires going to extreme heights. The patient is treatment-naive and has a high CD4 count with a viral load of 13,000 copies/mL. His genotype showed a wild-type virus. The caller inquires what antiretroviral medications should be considered for […]

World AIDS Day 2014: Working Toward an AIDS-Free Generation

World AIDS Day reminds us all of how far we have come with HIV, and how much farther we have to go. At the Clinician Consultation Center, we have the special opportunity every day of helping to prevent HIV transmission and to improve the care of those with HIV. Nothing could be more rewarding for […]

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Case of the Month: Pediatric ARV Regimen Selection

Case Summary A pediatrician calls the CCC about a three-year-old HIV-positive boy recently adopted from Ethiopia who recently immigrated to the U.S. His adoptive parents told the pediatrician that they’d received zidovudine/lamuvudine/nevirapine bottles from the orphanage, but are unclear as to whether the boy was regularly receiving antiretrovirals (ARVs). Currently, the child is not taking […]

Case of the Month: Initiating PrEP and Providing Appropriate Follow-Up

Case Summary A family physician calls about a 19-year-old bisexual man interested in pre-exposure prophylaxis (PrEP). The patient is HIV-negative. He has multiple partners and uses protection, but not regularly. The patient is currently not on post-exposure prophylaxis (PEP), has no signs compatible with acute HIV, and has normal renal and hepatic function. What is […]

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Introducing the CCC PrEPline!

PrEPline, 855-448-7737 The CCC Pre-Exposure Prophylaxis Service 11 a.m. – 6 p.m. EST PrEPline to Provide Clinicians with Advice on New HIV Prevention Tool We’re excited to announce our brand new service, the CCC Pre-Exposure Prophylaxis consultation telephone service, or PrEPline. This service will provide free, expert advice to clinicians across the country on PrEP, […]

Case of the Month: Pending HIV Test Results and Labor

Case Summary A pediatrician asked about a Gravida 3, Para 1 woman (age unknown) at 39 weeks gestation who was admitted for induction of labor due to gestational diabetes mellitus. The woman‘s male partner of 12 years was HIV+ and taking antiretroviral medications with an undetectable viral load. The patient reported that her last sexual […]

Case of the Month: HIV Treatment in Sero-Discordant Couples

Case Summary A family medicine clinician called about a 62-year-old man who was a new patient. As part of standard intake, the clinician sent off a routine HIV screen, which came back positive for HIV-1 antibodies. The patient told the clinician that he knew of his status already and that he had initially been diagnosed […]

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Case of the Month: Using PEP to Manage Sexual Exposure

Case Summary A family physician called the CCC about a male patient who had been in a monogamous relationship with another man for the past four months. The patient had had multiple sexual exposures with this partner, the most recent exposure taking place 72 hours before the consultation call. Could this patient be a candidate […]

Case of the Month: Indeterminate Results and Repeat HIV Testing

Case Summary A gynecologist asked about a 30 year-old female patient who had a positive HIV1 and HIV2 antibody screen and a negative Western Blot test. The patient had undergone testing during routine preconception labs. She did not want to wait six months to retest to rule out early HIV infection not adequately excluded by […]

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