All Shared Cases

Author: PreethiMol
Date: Wed, 11/17/2021 - 23:54
Second line Treatment Options in Resource Limited

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
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
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
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
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
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
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
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
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
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