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VIRTUAL MEDZONE. Your Resource for HIV Related Innovative Medical Communication. HIV CASE PRESENTATIONS. Colin Kovacs MD FRCPC David Fletcher MD FRCPC. CASE 2. 48 yo man HIV+ 1990 CD4 nadir 120/6% No HIV viral load or genotype. CASE 2. CASE 2. GENOTYPE AUG/04. CASE 2. 2005 - PowerPoint PPT Presentation
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VIRTUAL MEDZONEYour Resource for HIV Related Innovative Medical Communication
HIV CASE PRESENTATIONSColin Kovacs MD FRCPCDavid Fletcher MD FRCPC
CASE 2
• 48 yo man• HIV+ 1990• CD4 nadir 120/6% • No HIV viral load or genotype
CASE 2
DATE REGIMEN CD4 VL1992 AZT ? ----1995 AZT/3TC ? ----1997- 2005
D4T/3TC/RTV/SQV 510/20% 3645
CASE 2
GENOTYPEAUG/04
CASE 2
2005
• TDF/ABC/3TC/RTV/ATZ/EFV initiated
CASE 2
CASE 2
DATE CD4 VIRAL LOAD
AUG/05 510/26% <50
JAN/07 710/32% <50
MAR/08 710/29% <50
FEB/11 680/28% <40
AUG/11 610/30% <40
CASE 2
2010-2011
• Patient unhappy with increasing facial lipohypertrophy along with dorsocervical fat pad
CASE 2
2010-2011• Doctor unhappy with following lab results
DATE CREATNINE URINALYSIS ALB/CREAT2004 70 (-) ---2007 119 (-) 0.82010 125 (-) 5.12011 123 +GLU 10.3
CASE 2
WHAT DO YOU DO? …..?Nothing?Switch Tenofovir?Switch Atazanavir?Switch both… If so, to what?
