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CASE 2. 59 yo man HIV+ since 1993 CD4 nadir 150. CASE 2. Antiviral History. CASE 2. CAUSE(S)?? WHAT NEXT??. CASE 2. U/S – bladder wall mass c/w bladder cancer Diagnosis – bladder cancer. CASE 2. Would you switch from a TDF/FTC containing regimen?. - PowerPoint PPT Presentation
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CASE 2• 59 yo man • HIV+ since 1993
• CD4 nadir 150
CASE 2
DATE REGIMEN CD4 VL
1993 AZT 220 ------
1995 AZT/3TC 330 ------
1996 AZT/3TC/SQV 370 700
1997 D4T/DDI/IDV/EFV 390 <50
2002 D4T/DDI/IDV/NVP 390 <50, <40
2013 TVD/RTV/DRV/NVP 500 <40
Antiviral History
CASE 2
DATE ARV REGIMEN Creat. ALB/Creat U/A Rndm. Ur. Protein
2000 D4T/DDI/IDV/NVP
68 - (-) -
2012 “ 66 4.1, 4.9 0.3 -
03/2013 TDF/FTC/RTV/DRV/NVP
90 5.9 (-) -
06/2013 “ 87 12.6 0.3 0.586
10/2013 “ 92 18.1 0.3++blood
0.650
CAUSE(S)??
WHAT NEXT??
CASE 2
• U/S – bladder wall mass c/w bladder cancer
• Diagnosis – bladder cancer
CASE 2
• Would you switch from a TDF/FTC containing regimen?
