Background: Despite multiple studies supporting the safety and efficacy of pre-exposure prophylaxis (PrEP) for the prevention of HIV infection, many patients who are at high risk of HIV transmission are not treated with PrEP. HIV risk counseling and the initiation of PrEP have historically been limited to outpatient settings. Inpatient providers frequently encounter patients with [...]

Case Presentation: A 20-year-old man with a history of type 1 diabetes mellitus presented with five days of sore throat and intermittent fever. Two days prior to presentation, he was evaluated with findings including tachycardia with a heart rate of 124, fever to 38.7 degrees C, and an exam notable for tonsillar & oropharyngeal exudate [...]

Case Presentation: A 44-year-old Ugandan man with a history of HIV/AIDS on Bictegravir-Emtricitabine-Tenofovir Alafenamide presented with fevers and abdominal pain. Past medical history was significant for HIV/AIDS previously complicated by CNS Toxoplasmosis. Physical exam was notable for diaphoresis, diffuse lymphadenopathy, and abdominal distension. Laboratory values were significant for viral load 520 copies/mL and CD4 count [...]

Case Presentation: A 48-year-old female with AIDS, HFrEF, asthma, and hypertension presented with weight loss, fatigue, chills, abdominal pain, vomiting, left neck swelling, and purulent mouth drainage over the last 2-3 weeks. She was febrile to 102.9 F, hypotensive (85/64), tachycardic, tachypneic, and had firm, mobile, 2-3 cm cervical lymph nodes and enlarged tonsils. Labs [...]

Case Presentation: A 20-year-old man with untreated HIV was admitted due to severe thrombocytopenia. He reported diarrhea, episodes of epistaxis and hemoptysis, night sweats and weight loss for past 3 months. Physical exam was significant for scattered, brown papules and plaques on all extremities. CD4 count was > 400 cells/mm3. CT scan of chest showed [...]

Case Presentation: A 52-year-old man with HIV on HAART (CD4 count of 644) and recently treated early latent syphilis, was admitted for abdominal pain and hematochezia of 2 days duration. On exam, he had normal vital signs and diffuse tenderness to palpation but no rigidity or guarding. Labs were notable for hemoglobin drop to 11 [...]

Case Presentation: 42-year-old male with HIV on ART presented in May with six days of fevers, non-bloody diarrhea, headache, and neck pain. He reported dyspnea and dry cough with potential exposure to COVID-19 as he had recently attended local protests. He reported new sexual partners and recently found ticks on himself.He was febrile and tachycardic. [...]