All Shared Cases

Author: oidesous
Date:
52 YO caucasian female with WT gain complaint

52 YO Caucasian female who reports 60 pound weight gain over the course of 3 years on Genvoya and Prezista regimen.  She feels strongly that it is medication related. She stopped Prezista on her own over a month ago as she "looked on the… Read full case

Author: t.hedley133
Date:
Multiclass resistant, salvage therapy, RPR1:16

Previously poorly controlled HIV/AIDS due to non-compliance leading to treatment failure. Genotype showed multi-class resistance, including NRTIs and INSTIs. Patient was started on DTG/ETR/DRV/r on 1 year ago. Patient reports compliance… Read full case

Author: maunank
Date:
LLV with resistance

52 y/o diagnose dx 30 years ago:

ZDV/3TC, then ZDV/3TC/NVP, later TDF/FTC/EFV-->K103N, M184V, Y181C, D67N

Later RAL, ETR, TDF/FTC (didn't want DRV)-->generaly suppressed, but occasional LLV.  Develops N155H.  He… Read full case

Author: maunank
Date:
Endocarditis on rifampin and oxacillin

33-yr-old woman with substance use disorder and HIV admitted with fever and chest pain

‒Onset 1 wk ago in the context of relapsed IDU (ie, heroin and cocaine)

‒Previously stable on opiate replacement therapy

Past medical… Read full case

Author: maunank
Date:
50 y/o with LLV on Odefsey

50 year old woman, previously suppressed on odefsey. Vl now 630.  No mutations detected.  On antacids.

Author: maunank
Date:
55 yo with osteoporosis

55 y/o new diagnosis of osteoporosis, suppressed on complera.

Author: maunank
Date:
Continued viremia on INSTI+PI

50 y.o. female with a history of HIV (CD4  9,  VL 180,000, (2020)), supposedly on Descovy, Evotaz, and DTG, but with many and repeated problems c non… Read full case

Author: maunank
Date:
Patient with non compliance

65 y.o. male c hx HIV (CD4 111, VL 1720 January 2020; and more recently Vl still ~3000), supposedly on Symtuza but with a long history of noncompliance, hepatitis C (genotype 1A,  s/p Harvoni  with SVR at 12 ), HTN, COPD… Read full case

Author: maunank
Date:
ESRD WI extensive PI, NNRTI, and NRTI resistance

55 year old recent COVID and on vent.  2010: Genotype  L10V, M46I, A71T, L89V, L90M, M184V.  (resistance to protease inhibitors (except darunavir) and emtricitabine/3TC (M184V)).2014  start on darunavir/ritonavir,… Read full case

Author: maunank
Date:
Suppressed with possible TAMS

HIV: 36I and M41L, concern for possible M184V. Initially diagnosed with HIV in 1995,. Nadir CD4 count of 6 from 1996. Initiated on darunavir, raltegravir, and etravirine in 2/12 after he re-presented for care  Well controlled on this… Read full case