Case Summary The Clinician Consultation Center received a call from a primary care provider regarding a 34-year-old man who was evaluated in the emergency department three days earlier for a non-occupational exposure after the condom broke during intercourse with his HIV-positive female partner. The patient has completed three days of post-exposure prophylaxis (PEP) medications without […]

Case Summary This case is continued from a previous case. See Part I here. 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 […]

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 […]

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 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 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) […]

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 […]

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 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 […]