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Join hosts Christopher Hoffman, MD, and Eileen Scully, MD, HIV specialists at Johns Hopkins University, for a new biweekly podcast in which they’ll present and discuss challenging cases to explore quandaries in adult HIV care.
In each episode, Chris and Eileen will focus on one case, covering patient history, problem list, diagnoses, challenges, pertinent social issues at play, and treatment planning. They will also highlight key evidence, publications, and guidelines that informed the clinical decision-making.
Case 1. Returning to Care – Is Biktarvy Always the Answer? This case focuses on a 48-year-old man with HIV for 12 years who presented 1 year after his last visit with a history of methamphetamine use, inconsistent engagement in care, and a new diabetes diagnosis. He reported no recent ART and no meth use for about 8 months and was motivated to resume ART. On returning to care, his viral load was 250,000 copies/mL, the CD4 count was 230 cells/mm3, creatinine levels were elevated, and genotype testing found a K103N mutation. Drs. Scully and Hoffmann evaluate the patient’s new ART options in light of his clinical viremia and comorbidities. Listen Now
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