1 / 14

CASE PRESENTATIONS

CASE PRESENTATIONS. David Fletcher MD FRCPC Benny Chang MD CCFP Fred Crouzat MD CCFP. CASE 1. 64 yo man HIV+ 1992 CD4 on diagnosis…40 Asymptomatic. CASE 1. ARV HISTORY. CASE 1. ARV HISTORY. CASE 1. July/09 Syphilis…treated

neva
Télécharger la présentation

CASE PRESENTATIONS

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. CASE PRESENTATIONS David Fletcher MD FRCPC Benny Chang MD CCFP Fred Crouzat MD CCFP

  2. CASE 1 • 64 yo man • HIV+ 1992 • CD4 on diagnosis…40 • Asymptomatic

  3. CASE 1 ARV HISTORY

  4. CASE 1 ARV HISTORY

  5. CASE 1 • July/09 Syphilis…treated • Aug/09… drug holiday - ran out of meds while on vacation

  6. CASE 1 • Upon return in Sept/09… CD4 650 and VL 2668 off meds

  7. CASE 1 GENOTYPE SEPT/09

  8. CASE 1 • Reinitiation of ABC+3TC/RTV/Atazanavir 09/09 -01/10 • VL 2668 → 567, 627, 601 • CD4 500 → 650

  9. CASE 1 GENOTYPE JAN/10

  10. CASE 1 • ABC+3TC+AZT 01/10 – 3/10 • VL 695 CD4 540 (unchanged from previous RTV/ATZ regime) • RTV/Darunavir/Raltegravir/Etravirine 3/10-7/10

  11. CASE 1 • RTV/Darunavir/Raltegravir/Etravirine • VL 695 → 373 (4/10), 386(5/10), 362(6/10), 267 (7/10) • CD4 540 → 670 • Asymptomatic syphilis in 06/10

  12. CASE 1 • RTV/Darunavir/Raltegravir/Etravirine (7/10) • VL 267 • CD4 540 • Why?... • What do you do next?

  13. CASE 1 • Genotype Tropism Testing…R5 • Integrase Resistance Pending

  14. CASE 1 Patient is currently off HIV medications…What do you restart?

More Related