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Innovative Presentation of HIV Case: Renal Complications in a 44-Year-Old Male

This presentation discusses the case of a 44-year-old Black man diagnosed with HIV in 1999, who initially presented with fatigue and anorexia. His lab results showed a CD4 count of 340 and a high viral load of 34,566. A renal biopsy confirmed HIV nephropathy as the diagnosis in 2000. Treatment included AZT, 3TC, Ritonavir, and Lopinavir. Despite some improvement in CD4 and viral load, renal function worsened, highlighting the complexities involved in managing HIV-related renal disease in patients.

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Innovative Presentation of HIV Case: Renal Complications in a 44-Year-Old Male

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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 2 • 44 yo Black man • HIV positive 1999 • Fatigue/anorexia • CD4 340 HIV viral load 34,566 • Creatinine 374 • 24 hr urine protein 5.52 gm/day

  4. CASE 2 • Renal biopsy verified that HIV Nephropathy was the diagnosis 2000 Rx…AZT/3TC/Ritonavir/Lopinavir/Altace,Norvasc • CD4 325 HIV Viral load 45,345 • Creatinine 401 K+ 5.4 mmole/l

  5. CASE 2 CD4 860 HIV Viral load<39 Urinary protein < 800mg/24 hrs

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