A Red Herring?
HIV/AIDS Clinical Care Antiretroviral Rounds
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A hospital maintenance worker sustains a needlestick injury while cleaning a patient recreation area. Lab tests show that he is seronegative for HIV, but a viral-load test comes back with a positive result of 204 copies/ml.
By Angela M. Caliendo, MD, PhD, and David Henderson, MD
August 1, 2000
A Co-Infection Treatment Dilemma
HIV/AIDS Clinical Care Antiretroviral Rounds
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The gastroenterologist places Mr. J. on interferon + ribavirin for his hepatitis C. But Mr. J. reports that the side effects of his treatment are "pretty bad," and he wonders if it "is going to work." Should he stay on the treatment?
By David Nunes, MD, and Peter J. Piliero, MD
July 1, 2000
One Patient, with Another on the Way
HIV/AIDS Clinical Care Antiretroviral Rounds
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When Sarah Black discovered that she was pregnant, she promptly stopped all antiretroviral medications out of concern for the baby's health.
By Natalie Neu, MD
May 1, 2000
Time for a Holiday
HIV/AIDS Clinical Care Antiretroviral Rounds
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Cynthia tells you that her waist size has begun to increase; someone has pointed out that her face appears thinner. Worried that she may be experiencing a medication-related side effect, she has stopped her 3TC and now takes only AZT.
By Peter J. Piliero, MD, and Elizabeth Jenny-Avital, MD
March 1, 2000
Personal and Public Consequences
HIV/AIDS Clinical Care Antiretroviral Rounds
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Henry G., a 38-year-old college professor, tells you that he is depressed over the break-up of a relationship and has been drinking heavily, taking his medications intermittently, and having sex with several new partners.
By Paul E. Sax, MD, and Peter J. Piliero, MD
January 1, 2000
Asymptomatic but Discouraged
HIV/AIDS Clinical Care Antiretroviral Rounds
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Willie L., a 62-year-old man, was diagnosed with AIDS in 1992 on the basis of a single KS lesion that resolved with laser surgery and . . .
By Elizabeth Jenny-Avital, MD, and Carlos del Rio, MD
November 1, 1999
The Perils of Progress
HIV/AIDS Clinical Care Antiretroviral Rounds
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Molly B., a 49-year-old woman, was infected with HIV in 1990. When she began AZT therapy in 1990, her CD4 count was 394 cells/mm3 . . .
By Deborah Cotton, MD, MPH, and Keith Henry, MD
October 1, 1999
A Case for Proactive Switching?
HIV/AIDS Clinical Care Antiretroviral Rounds
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Michael B., a 33-year-old man, has been HIV-positive since 1987. He was placed on AZT + 3TC in early 1996 when his viral load by . . .
By Stefano Vella, MD, and Donald Craven, MD
August 1, 1999
Antiretrovirals for HIV Nephropathy?
HIV/AIDS Clinical Care Antiretroviral Rounds
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Rita Y. is a 37-year-old woman who was seen for asymptomatic HIV infection four years ago. Her CD4 count was 680 cells/mm3 and her . . .
By Michael Saag, MD, and Frederick Hecht, MD
June 1, 1999
When to Start?
HIV/AIDS Clinical Care Antiretroviral Rounds
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William L., a 41-year-old man, tested positive for HIV as part of a routine screening process for a disability insurance application. He had never previously . . .
By John Bartlett, MD, and David Cohn, MD
May 1, 1999
