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VIRTUAL MEDZONE

VIRTUAL MEDZONE. Your Resource for HIV Related Innovative Medical Communication. HIV CASE PRESENTATIONS. Phil Sestak MD David Fletcher MD FRCPC. CASE 1. 48 yo woman HIV+ 1998 Presented with Lymphocytic interstitial pneumonia/Sicca syndrome CD4 600 CD8 4500. CASE 1 . O/E…Bp 120/80

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VIRTUAL MEDZONE

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  1. VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication

  2. HIV CASE PRESENTATIONS Phil Sestak MD David Fletcher MD FRCPC

  3. CASE 1 • 48 yo woman • HIV+ 1998 • Presented with Lymphocytic interstitial pneumonia/Sicca syndrome • CD4 600 • CD8 4500

  4. CASE 1 O/E…Bp 120/80 CVS…increased JVP RV heave/Loud P2 2D Echo…Normal LV TR…RVSP 72mm/Hg Normal RV function RA size enlarged

  5. CASE 1 Diagnosis…Infiltrative CD8 Lymphocytic Syndrome and HIV related Primary Pulmonary Hypertension RX…AZT/3TC/Ritonavir/Lopinavir/Coumadin

  6. CASE 1 • Improved SOBOE over 6 months and dry mouth/eyes abated over 1 yr • Serial Echocardiograms done over 10 yrs reveal that RVSP has now normalized

  7. CASE 1 2011 Still going strong on AZT/3TC/Ritonavir/Lopinavir…unwilling to change nucleoside therapy • CD4 1100 CD8 1000 • Viral load<39

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