HIV Care pdf Cases
We report a case of an HIV positive man co- infected with hepatitis C showing a high viral load of HCV following 12 weeks of direct acting antiretrovirals. This case highlights the occurrence and challenges in HIV/HCV coinfection management in resource-limited seeting.
This case highlights occurrence of vitamin B12 deficiency in an HIV infected patient thought to have resulted from prolonged use of PPI.
This case highlights the occurrence of a community acquired resistant bacteria causing sepsis in an HIV positive patient and demonstrating sepsis management in a resource limited setting.
We report of a 30-year-old female, HIV positive since August 2017, and had been on TDF/3TC/EFV for 6 months. She was virologically suppressed with a viral load of less than 20 copies/ml in February 2018. Clinically, intrauterine pregnancy of about 3months. This was an unwanted pregnancy..
This is a real life case of a 32-year-old Ugandan female newly diagnosed HIV patient whose case was complicated by a diagnosis of cryptococcal meningitis and carriage of a twin pregnancy in a resource-limited setting.
NRL is a 51 year old female who presented to IDI HIV clinic in July 2010 with WHO stage II HIV disease as a referral from a lower health facility. She had been on ART since 2007, Tenofovir, Lamuvidine and Efavirenz combination.
This is a case of a 46year old woman diagnosed HIV positive in 2009. She was WHO clinical stage I with a base line CD4 of 21cells. She was initiated on dapsone prophylaxis and AZT/3TC/NVP and her CD4 rose to 347cells. She was referred to the Infectious diseases institute (IDI) clinic in October 2012 for convenience.
KI is a 51 year old male diagnosed with HIV infection and enrolled into care at the Infectious Diseases Institute (IDI) clinic in November 2015. He presented with persistent diarrhoea, itchy skin rash and oral candidiasis.
NKS, a 28year old HIV positive woman was registered at the Infectious Diseases Institute (IDI) clinic in 2007. By that time she was a known epileptic attending the Mulago psychiatric clinic controlled on anticonvulsants (carbamazepine).
Leprosy, presenting as part of the immune reconstitution syndrome (IRIS) in patients on highly active anti-retroviral therapy (HAART) has been documented. The increasing availability of HAART in countries endemic for leprosy may lead to unmasking of latent leprosy in co-infected patients.
Chronic inflammatory demyelinating polyneuropathy (CIDP) is a relatively rare disease. It has been associated with HIV and less commonly pregnancy. We report a case of a 32 year old HIV positive pregnant woman in her second trimester, diagnosed with CIDP after a 3months history of progressive failure to walk.
This case highlights management challenges in practical situations not addressed by existing guidelines and recommends patients with a detectable low viremia <1000 copies/ml to have their viral load repeated within a period of 3 months from the first assessment after receiving intensive counselling.