Case Presentation: A 15-year-old male with HIV and inconsistent antiretroviral therapy adherence presented to an HIV clinic in Lilongwe, Malawi with weight loss, night sweats, lower extremity rash, and diarrhea. The rash on his legs had been present for 4 months and then spread to his arms. On exam, his vital signs were unremarkable. He […]

Case Presentation: A 43-year-old male with human immunodeficiency virus (HIV), off antiretroviral therapy (ART) for 5 years presented to an outside hospital in July 2022 with diffuse umbilicated skin lesions. Skin scrapings for the monkeypox virus PCR were positive. No medications were prescribed. Days later, the patient was admitted to a different hospital with worsening […]

Case Presentation: A 26-year-old man with history of virally undetectable HIV, presented with 3 weeks of intermittent fevers and night sweats associated with chills, non-productive cough and generalized weakness, but denied weight loss. Vital signs revealed fever of 101.3F, tachycardia (pulse 118 bpm) and hypotension (blood pressure 95/61 mmHg). Physical exam revealed cervical and axillary […]

Case Presentation: A 27-year-old male with a past medical history of HIV, poorly adherent to antiretroviral therapy (ART), presented with a 1-month history of worsening lower back pain. Pain was described as 10/10 in intensity, radiated to upper back, unrelieved by Ibuprofen, aggravated by lying flat and associated with a frontal headache. He denied fever, […]

Case Presentation: A 35 y/o male with HIV infection presented with 3 weeks of worsening perianal pain. Patient reports engaging in receptive anal and oral sex approximately 3 weeks ago, with inconsistent condom use. He developed both perianal pain and skin lesions a few days after the encounter, noting vesicular and umbilicated lesions in his […]

Case Presentation: A 30 y/o man presented to the ED with complaints of unresolved monkeypox lesions. Along with this recent diagnosis of monkeypox with TPOXX treatment failure, he has a past medical history significant for advanced HIV/AIDS with CD4< 2 at admission on Bactrim prophylaxis, resolved Campylobacter infection, and chronic normocytic anemia. A month prior, […]

Case Presentation: A 28-year-old male who immigrated from Guatemala six years ago with untreated HIV presented with 3 weeks of fatigue, headache, and night sweats. He was initially diagnosed with HIV three years earlier, but just began ART one week prior to his presentation, after being seen at a community clinic. He was started on […]

Case Presentation: A 54 year-old African American female with a past medical history of hypertension and sickle cell anemia presented with acute onset of headache, blurry vision and confusion with multiple falls over ten days. On presentation, her vitals were within normal limits. She was lethargic and only able to answer simple questions. Physical examination […]

Case Presentation: A 43-year-old male with glucose-6-phosphate dehydrogenase deficiency and human immunodeficiency virus (HIV) infection presented to the emergency department with subacute onset cough and shortness of breath. Medical history was significant for development of HIV after failed post-exposure prophylaxis with brief achievement of undetectable viral load on antiretroviral therapy (ART) followed by inability to […]

Case Presentation: An 18-year-old man presented with 2 weeks of fever, non-productive cough, and sore throat, as well as nausea, emesis, and unintentional weight loss of ~5kg. He was an undocumented immigrant but had not traveled outside of the country in the past 18 months and reported no sick contacts. He worked in landscaping but […]