Archive | Case of the Month

Every month, we highlight a case that represents current questions from our clinician consultations.

Case of the Month: Review of Anal Cancer Screening for HIV-Positive Patients

Anal cancer rates are rising among people living with HIV, one of the groups at highest risk for this condition. The populations with highest incidence of anal cancer include HIV-positive men who have sex with men, HIV-negative men who have sex with men and HIV-positive cisgender women[1]. Additionally, patients who are immune-suppressed for other reasons […]

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Case of the Month: Cesarean Delivery for Women Living with HIV

Case Summary An obstetrician called the Perinatal HIV Hotline regarding a 20 yo patient who was perinatally-infected with HIV and is now 38 3/7 weeks into her first pregnancy. The patient was taking co-formulated abacavir/lamivudine/dolutegravir prior to pregnancy, and was maintained on this combination for the duration of the pregnancy. She has been adherent and […]

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National Day of Action to End Violence Against Women Living with HIV 2016

The National Day of Action to End Violence Against Women Living with HIV, on October 23rd, serves as a reminder that complex medical conditions, such as HIV and substance use, are often connected to public health issues like trauma and violence. Ending the culture of violence is crucial to ending HIV transmission, HIV-related morbidity and […]

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National Latinx AIDS Awareness Day 2016

October 15 is National Latinx AIDS Awareness Day. The 2016 theme is “We’ll Defeat AIDS Con Ganas!” Latinxs experience unique barriers to health care, often leading to delayed HIV diagnoses and increased risk of developing AIDS. This speaks to the need for further education and health care to specifically address the concerns of these populations. […]

Case of the Month: Transgender Health and HIV

The 2016 International AIDS Conference theme is “Access Equity Rights Now”, and one important objective involves recognizing that the “cross-cutting issues of criminalization, gender-based violence, sexual and reproductive health, rights, and stigma and discrimination” deeply impact people living with HIV everywhere. The CCC is proud to support the International AIDS Conference theme by taking this […]

Case of the Month: False Positive HIV Viral Loads

June 27, National HIV Testing Day, is an opportunity for patients and clinicians alike to play a pivotal role by promoting widespread HIV testing. In recognition of the importance of testing, the Clinician Consultation Center is sharing a testing-related case from its HIV/AIDS Management Consultation Service, which celebrates its 25th birthday this year! Case Summary […]

Case of the Month: HIV-Positive Partner PrEP

Case Summary A 19-year-old male recently presented to the caller’s clinic requesting to start pre-exposure prophylaxis (PrEP). The patient reported having unprotected insertive and receptive anal intercourse with his HIV-positive partner for the past two months. His partner is on antiretroviral therapy, with the most recent HIV viral load at reportedly 500 copies/mL “a few […]

Case of the Month: HIV Testing in Newborns

Case Summary A neonatologist called about a very low birth weight (1134g) infant born at 37.5 weeks gestation to a 27-year-old woman who had been diagnosed with HIV at week 13 of her pregnancy. The mother had been started on co-formulated zidovudine/lamivudine (Combivir) and boosted lopinavir (Kaletra), and had achieved viral suppression at week 33 […]

Case of the Month: Transitioning from PEP to PrEP

Case Summary A physician called the PrEPline about a 43-year-old female sex worker who had vaginal receptive intercourse with a man approximately one month ago. Although a condom was used, it broke; the man subsequently disclosed he was HIV-positive. The patient presented to a community clinic within 24 hours of the incident and was started […]

Case of the Month: Initiating Hepatitis C Treatment in an HIV Co-Infected Patient

Case Summary A clinical pharmacist called the CCC regarding a 49 year-old male diagnosed with HIV and hepatitis C (HCV) in 2006. He was started on co-formulated tenofovir DF (TDF)/emtricitabine/efavirenz shortly after diagnosis but then stopped taking it in 2013 after falling out of care. The patient presented in early 2015 to re-engage in care, […]

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