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 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 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, […]

This month, we feature a case from the Substance Use Warmline, our new clinician-to-clinician telephone consultation service focusing on substance use evaluation and management for primary care clinicians. This case, Opioid Use and HIV Management During Pregnancy, was authored by Joanna Eveland, MS, MD, with contributions from Lealah Pollock, MD, James Gasper, PharmD, and Cristina […]

Case Summary The Clinician Consultation Center received a call from an occupational health provider caring for a physician who had just been stuck with a needle used to perform an arthrocentesis on a known HIV-positive source patient (SP). The SP was taking combination antiretroviral therapy which consisted of co-formulated abacavir/lamivudine (Epzicom®) and efavirenz (Sustiva®). The […]