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 […]

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 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 […]

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 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 […]

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 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 […]