University of California, San Francisco |
Case Summary The Clinician Consultation Center received a call from a new infectious diseases provider in Texas about a 50-year-old patient who was newly referred to her for care. The patient was diagnosed with HIV in 1990, and has been on multiple antiretroviral therapy (ART) regimens since then. His current regimen, consists of abacavir, co-formulated […]
Give the Test. Take Control.
June 27 is National HIV Testing Day! This is an important part of the Center for Disease Control and Prevention (CDC) campaign to increase awareness and highlight the importance of HIV testing. Healthcare organizations, prevention and community-based services, and clinicians of all backgrounds and training levels can play a major role in ensuring that people […]
Case of the Month: Cervical Cancer Screening In HIV-Positive Women
Case Summary A nurse practitioner calls about a 61-year-old HIV-positive woman. The patient was diagnosed in 2002, and is currently virologically suppressed on combination ART. She had a total hysterectomy in 2000 due to persistent dysplasia (no further details are available) and subsequently had three yearly negative vaginal Pap tests. She has not had any […]
Case of the Month: Needlestick PEP in a Correctional Setting
Case Summary A physician calls about a correctional officer who stuck himself with a sewing needle while going through an inmate’s personal belongings. His finger had a shallow injury and there was no visible blood on the needle. The officer is immunized against HBV but does not know if he responded. The source person is […]
Case of the Month: HIV and TB Co-Infection Management
Case Summary A physician called for advice about a 47-year-old male heterosexual patient who’d been newly diagnosed with HIV. The patient had presented with a gastric mass on a CT scan, and was Acid-Fast Bacilli- (AFB) positive on biopsy, indicating possible Tuberculosis (TB) infection. The patient was being treated for both Mycobacterium Avium Complex (MAC) […]
National Women and Girls HIV/AIDS Awareness Day and the CCC
National Women and Girls HIV/AIDS Awareness Day helps bring the continued increase in new HIV infections among women to the fore. Understanding HIV in the context of women’s health helps providers maximize patient outcomes and lower transmission risk to partners or during pregnancy. The Clinician Consultation Center (CCC) can provide personalized guidance to clinicians treating […]
Case of the Month: Needlesticks, HIV+ Source Patients, and PEP
Case Summary A physician who specializes in occupational health called regarding a registered nurse (RN) who sustained a needlestick 36 hours ago. She was drawing blood with a butterfly needle from a source patient who is known to be HIV antibody-positive. The injury was shallow and it was unknown if the needle was visibly bloody […]
Disparity and Care: National Black HIV/AIDS Awareness Day
Underserved populations can disproportionately encounter problems in receiving HIV testing and accessing HIV care, and National Black HIV/AIDS Awareness Day (Feb. 7, 2015) aims to bring light to this and other disparities in the HIV epidemic. Although African-Americans represent 12% of the US population, they make up an estimated 44% of people living with HIV […]
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 […]