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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...

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