Background: Though the advent of highly active anti-retroviral medications has improved survival in HIV infection, mortality from non-infectious complications such as pulmonary arterial hypertension (PAH) has increased. Also, studies have shown that PAH is the leading cause of hospitalization and death in patients with HIV associated PAH (HIV-PAH). However, not much is known about the [...]

Background: Patients evaluated after sexual assault may require non-occupational post-exposure prophylaxis (nPEP) to prevent infection with human immunodeficiency virus (HIV), depending on the assessed risk of HIV transmission in each case1-4. Access to nPEP medications, patient counseling, and follow-up care should be offered in a systematic, comprehensive, and compassionate setting. Unfortunately, multiple barriers may impede [...]

Case Presentation: A 40-year-old man presents with painful, progressive bilateral vision loss which began two months prior, and was described as the patient feeling as if he were “looking through a straw”. He noted excruciating eye pain, redness, and tearing. Despite work as a tree trimmer, patient denied known trauma. He endorsed a twenty-pound unintentional [...]

Case Presentation: A 33-year-old male without significant medical history experienced visual changes, left-sided tingling and weakness, vertigo, nausea, and mild expressive aphasia for 2 months. At that time, he had mild upper extremity tremor and was able to walk, drive, and perform activities of daily living. On physical exam, the patient demonstrated left upper extremity [...]

Case Presentation: Patient is a 48-year-old man who presented with dysphagia, weight loss and diffuse skin rash. He reported a large, non-tender lesion on his nose, and similar-appearing lesions on his thorax, extremities, face and mouth. The patient was diagnosed with HIV three years prior to presentation, but had never been treated with antiretroviral therapy [...]

Case Presentation: A 24-year-old male with no significant past medical history presented with five days of abdominal pain and lower extremity aching. He also reported subjective fevers, headache, emesis, and decreased appetite with a five-pound weight loss. On initial presentation, he was febrile to 100.9°F and physical exam was notable for diffuse abdominal pain, tender [...]

Case Presentation: Mr. J is a 47 year old male with a history of Acquired Immune Deficiency Syndrome (CD4 count of 183), chronic kidney disease stage 3 (baseline creatinine of 1.5 mg/dL) and Castleman Disease (CD, previously treated with rituximab) who presented initially with complaints of fevers, dyspnea, generalized weakness, and swelling to the lower [...]

Case Presentation: A 36-year-old man with human immunodeficiency virus (HIV) on antiretroviral therapy presented with an anterior mediastinal mass on computed tomography (CT). A biopsy was not concerning for a malignant or infectious process, and the mass was monitored with routine imaging. Two years later, he presented with neck weakness, diplopia, and dysphagia concerning for [...]

Case Presentation: A 30 year-old MSM with a newly diagnosed HIV presented with shortness of breath and cough. He stated that he became sick 5 weeks ago at which point he made an appointment to see his PMD where he was diagnosed with RML pneumonia and was given 5 day course of oral antibiotics. He [...]

Case Presentation: A 41-year-old man presented with months of a dry cough, non-bloody diarrhea, and an unintentional 20-lb weight loss, as well as one day of a severe headache. His history was notable for injection drug use, homelessness, and HIV infection for which he was not taking any medications. Initial vitals were temperature 38.3°C, blood [...]