HIV Care pdf Cases
A 56 year old HIV-infected woman not on antiretroviral therapy (ART) presented to Kiboga District hospital (DH) with a 2month history of headache and vertigo, with associated mild confusion, memory loss, drooping of the right eye, dizziness and a staggering gait for 2 weeks.
A 22-year-old girl with CD4 of 795 and This young woman tested positive for HIV at the age of 18. She had a CD4 count of two (0%) and a viral load of 256,830 copies/ml. Her parents died when she was two years old and her auntie brought her up. She denied any prior sexual intercourse.
A 46year old female diagnosed with HIV-infection and enrolled into care at the IDI clinic in July 2009. She presented with esophageal candidiasis, a stage IV disease at a baseline CD4 cell count of 56cells/ul. She was started on ART; tenofovir, lamivudine and zidovudine in October 2009 and her CD4 peaked to 202cells five months later.
Takayasu arteritis (TA) is a rare, systemic, inflammatory large-vessel vasculitis that most commonly affects women of childbearing age. The precipitant factor of the pathological immune response is generally unknown and different factors have been implicated, including human immunodeficiency virus (HIV) infection.
This case highlights the occurrence of persistent low level viremia sensitive to treatment in an HIV patient with good adherence that later developed resistance.
These case details a 42 year old Ugandan female HIV positive well controlled immunologically and virologically on Highly Active Anti-Retroviral Therapy (HAART), confirmed to have HIV-associated lymphoma after 7 months of presentation with a painful right eye that later progressed into a mass.