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RVD - diagnosed in 2017
- failed first line
- - multiple defaults while on TenvirEM, EFV
- VL not suppressed after restarting same regime since April 2019
- HIV drug resistance test 23/9/2019… Read full case |
Author: DR MATIN AHMAD KHAN
Date: Sun, 11/07/2021 - 05:41
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Treatment -experienced with virologic failure
Here the patient is on DRV/r twice plus FTC/TDF and have wide spread mutations against RT, Protease Integrase and even Entry inhibitor gp41.
What best would be to be included for this patient ?
1. IBA & DTG
2.FOS &… Read full case |
Author: DR MATIN AHMAD KHAN
Date: Sun, 11/07/2021 - 03:40
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Can we give ABC if HLA57 report pending ?
A 40 year comes for followp with virologically suppressed with RPV/TAF/FTC . he is started now pantaprazole for reflux oesophagitis and also being given Budesonide /Formetrol for asthma .
His HLA B5701 is pending (Clinicalinfo.gov… Read full case |
Author: sholzma1
Date: Thu, 08/26/2021 - 08:36
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NRTI sparing regimen in someone failing Biktarvy
I have a 43 year old man with CKD (stage IV, prior Cr ~3), treated HCV and HIV (on Biktarvy) who presented after a year w/o follow-up and found to have progressive renal failure, Cr 11. Admitted for initiation of HD. Reports compliance with… Read full case |
Author: Ncwhelan3
Date: Thu, 07/22/2021 - 16:20
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ARV regimen change for 27 y.o. with congenital HIV
27 year old female not taking ART's for the last 5 months. The last ART Genvoya caused excessive nausea. She was well controlled on Bictegravir prior however developed apraxia of speech and right-sided muscle weakness. Although neurological… Read full case |
Author: maunank
Date: Thu, 05/13/2021 - 09:18
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HIV/TB, INSTI resistance
40 year old patient with HIV, treatment experienced (prior history of TDF/FTC+RAL, TDF/FTC+RAL+ATVc), off ART for > 1 year, current genotype without resistance (but history of M184V and T97A), newly diagnosed with pulmonary TB. Started on… Read full case |
Author: maunank
Date: Thu, 05/13/2021 - 09:12
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HIV/TB, INSTI resistance
40 year old patient with HIV, treatment experienced (prior history of TDF/FTC+RAL, TDF/FTC+RAL+ATVc), off ART for > 1 year, current genotype without resistance (but history of M184V and T97A), newly diagnosed with pulmonary TB. Started on… Read full case |
Author: MatthewHamill
Date: Sun, 02/07/2021 - 16:39
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HBV/HCV/HIV M184V. Dolutegravir allergy
59yr old AA man. HIV since at least 2004.
- On Dar/c and Descovy consistently for 13 months.
New onset of renal dysfunction - creat 2.1; eGFR 39 (Jan 2021).
Previous creats 1.1 - 1.4; eGFR >63. May 2020 Creat 1.4, eGFR… Read full case |
Author: maunank
Date: Tue, 12/01/2020 - 20:05
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ATV/c with BIC
Patient with extensive treatment history and resistance.
DHHS and Liverpool suggest BIC should 'not be coadministered' with ATV/c due to increase of 300% in exposure. However there were no grade 3-4 toxicities in the ATV-BIC drug drug… Read full case |
Author: nicky.mehtani
Date: Tue, 11/03/2020 - 17:31
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Phenobarbital + ART
A patient with poorly controlled ART (CD4 145, VL 100k, intermittent adherence to DRV/c/TAF/FTC) and alcohol use disorder was admitted to the hospital in alcohol withdrawal and loaded with phenobarbital for management of withdrawal symptoms. ID… Read full case |
