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Tag Archives: HIV
VA Resident Report: What is the management strategy of Kaposi Sarcoma and pneumocystis pneumonia in a HIV positive patient?
The Bottom Line: The management of pulmonary KS is challenging. There is a risk of precipitating IRIS upon initiating cART. Chemotherapy can also cause further immunosuppression and increase the risk of further infections. In many of these patients, initiation of … Continue reading
The mechanism of hemorrhagic complication in HSV encephalitis is unclear. The possible mechanisms include small vessel rupture due to vasculitis and transient hypertension caused by increased intracranial pressure. Gyral pattern of the hemorrhage may suggest that the hemorrhagic complication in … Continue reading
The Bottom Line: Adverse events in HIV patients taking tenofovir are relatively rare, postmarketing reports of nephrotoxicity have alerted physicians to other potentially serious outcomes. This study presents a series of 40 patients who developed hypokalemia associated with tenofovir. Identified … Continue reading
The Bottom Line: More recent studies highlight an increased incidence of HIV associated thrombotic microangiopathies and rhabdomyolysis, the latter from the use of statins in combination with highly active anti-retroviral therapy (HAART) References: Prabahar, M., Jain, M., Chandrasekaran, V., Indhumathi, … Continue reading
VA Resident Report: Is there an increased risk for patients with Terminal Complement Deficiency and HIV?
The Bottom Line: The Advisory Committee on Immunization Practices has previously recommended routine vaccination of persons aged ≥2 months who have certain medical conditions that increase risk for meningococcal disease, including persons who have persistent deficiencies in the complement pathway … Continue reading