All Episodes
Displaying 1 - 17 of 17 in total
Case 16. Mpox After the Outbreak
A 33-year-old man with HIV presents with a flu-like syndrome and a disseminated vesicular rash after sexual contact with a new partner. Differential diagnosis includes...
Case 15. A Pain in the Butt: Anal Cancer Screening and Prevention
Chris presents the case of a 42-yr-old gay man at high risk of anal cancer to guest Dr. Bruce Hirsch, and they work through the best course for screening and preventio...
Case 14. “AIDS Is Not My Worst Problem”: Caring for Women with HIV
The case of a 28-year-old diagnosed with HIV when she became pregnant prompts Eileen and guest Dr. Jean Anderson to explore many of the challenges of HIV care in pregn...
Case 13. Got PrEP? HIV Adjacent Care
Like many in HIV, Chris is also a PrEP provider. In this episode, he presents a case to Dr. Rona Vail to work through the best approach to PrEP for a young, gay Black ...
Holiday Greetings
Hello Viremic listeners. We are taking a break this week and encourage you to take a look back at our past episodes and catch up on any cases you may have missed. We'l...
Case 12. Injectable ART Failure: Minor Risk of a Major Event
After 3 years on injectable CAB/RPV, a patient develops viremia, with a viral load of ~1,300 copies/mL. Failure of injectable CAB/RPV occurs in 1% to 2%, despite adher...
Case 11. Unfolding Stories to Untangle Syphilis Testing
A 32-year-old man with well-controlled HIV, seen after a recent relationship split and sexual activity with new partners, is screened and diagnosed with syphilis. Eile...
Case 10. A Growing Problem: ART-Associated Weight Gain
A 54-year-old woman with longstanding HIV and obesity is stable on ART, but concerned that it is causing weight gain. How best to address this growing concern? Listen ...
Case 9. A New TRIO to Reduce ART Complexity
A 62-year-old patient with HIV for ~40 yrs presents on the life-saving TRIO regimen after a beloved care provider retires. Will a switch improve his quality of life? E...
Case 8. Charting a Path Forward
Subspecialists request simplified ART for a 56-year-old woman with a long ART history, who is taking a DOAC, has evolving renal function, and some drug resistance. Whi...
Case 7. Newer Kids on the Block: Novel ARVs for Multidrug Resistance
How to formulate an effective ART regimen acceptable to 56-year-old man, with unsuppressed HIV, 20+ yr. ART history, extensive drug resistance, and adherence challenge...
Case 6. Is More Really More? Optimizing Options for a Healthy Patient
Healthy 48-year-old man with HIV for 15 years, stable viral suppression, looking to optimize health—diet, exercise, immune-boosting supplements, safest HIV and HTN med...
Case 5. The Heart of the Matter: Cardiovascular Disease Risk in HIV
New COVID-19 vaccine policy, proviral DNA testing, then the case of a woman with 10+ years viral suppression, CKD, and CVD, identified as a statin candidate after a si...
Case 4. Under Pressure: Cryptococcus, ART Initiation, and the Threat of IRIS
After brief mention of an HIV vaccine, the hosts turn to the challenges of treating cryptococcal meningitis in a 46-year-old woman with profound immune suppression aft...
Case 3. Preserving the Beans: New Renal Failure and New HIV
After presenting with fatigue, malaise, and muscle cramps, a 28-yr-old man with history of STIs is diagnosed with new renal failure (Cr >9 mg/dL) and HIV (VL ~3 mil. c...
Case 2. How Low Can You Go? A Case of Non‑Suppressible Viremia
Mid-50s-yr-old man with HIV since the early 1990s presented for evaluation of persistent low-level viremia, despite consistent engagement in care and ART. Genotypic te...
Case 1. Returning to Care – Is Biktarvy Always the Answer?
48-yr-old man with HIV for 12 years presented 1 year after his last visit with a history of methamphetamine use, inconsistent engagement in care, and a new diabetes di...