‘ Difficult ’ Case 1. Sanjay Bhagani Royal Free Hospital and UCL, London. 34yr old male, from Brazil Married, no children 6 week history of intermittent fevers, dry cough, weight loss, shortness of breath on exertion HIV-1 positive, CD4 320 (17%), viral load 3300 c/ml HBV and HCV negative.
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Royal Free Hospital and UCL, London