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VIRTUAL MEDZONE. Your Resource for HIV Related Innovative Medical Communication. HIV CASE PRESENTATIONS. Phil Sestak MD David Fletcher MD FRCPC. CASE 4 . 42 yo man HIV+ 2003 Sexual acquisition No major or minor opportunism CD4 260 HIV viral load 56,785 Genotype… K103N !!

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virtual medzone

VIRTUAL MEDZONE

Your Resource for HIV Related Innovative Medical Communication

hiv case presentations

HIV CASE PRESENTATIONS

Phil Sestak MD

David Fletcher MD FRCPC

case 4
CASE 4
  • 42 yo man
  • HIV+ 2003
  • Sexual acquisition
  • No major or minor opportunism
  • CD4 260 HIV viral load 56,785
  • Genotype… K103N !!
  • HLAB5701 negative
case 41
CASE 4
  • ABC/3TC/RTV/ATZ initiated in 2004
  • CD4 now 1200 HIV Viral load<39
  • Increasingly displeasing lipohypertrophy, weight, blood sugar, HBA1C

What would you do?

case 42
CASE 4
  • Continue as is and add oral hypoglycemic agents?
  • Switch to ABC/3TC/ATZ?
  • Switch to ABC/3TC/RGV?
  • Switch to ABC/3TC/ETR?
  • Other ideas
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