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This case presentation discusses the management of a 56-year-old asymptomatic man diagnosed with HIV in 1999. The patient, with a baseline genotype, presents a unique scenario for treatment. The discussion analyzes the rationale for initiating treatment with TDF/FTC/EFV combined with RTV/DRV, taking into account his CD4 count of 500-700 and viral load below 50. We also explore potential deintensification strategies, highlighting innovative approaches in HIV care. This presentation is part of the Virtual MedZone resource aimed at improving HIV communication.
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VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication
HIV CASE PRESENTATIONS Mike Silverman MD FRCPC Jason Brunetta MD CCFP David Fletcher MD FRCPC
CASE 2 56 yr old man/ HIV+ 1999/ Asymptomatic
CASE 2 BASELINE GENOTYPE JAN/01
CASE 2 WHAT WOULD YOU TREAT WITH?
CASE 2 • Treatment initiated with TDF/FTC/EFV + RTV/DRV • CD4 500-700 • Viral Load <50 x 3 ? DEINTENSIFICATION
VIRTUAL MEDZONE Your Resource for HIV Related Innovative Medical Communication