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 […]

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 […]

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 […]

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 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 […]