VIRTUAL MEDZONEYour Resource for HIV Related Innovative Medical Communication

HIV CASE PRESENTATIONS

Phil Sestak MD David Fletcher MD FRCPC

CASE 2

• 44 yo Black man• HIV positive 1999• Fatigue/anorexia• CD4 340 HIV viral load 34,566

• Creatinine 374 • 24 hr urine protein 5.52 gm/day

CASE 2

• Renal biopsy verified that HIV Nephropathy was the diagnosis

2000Rx…AZT/3TC/Ritonavir/Lopinavir/

Altace,Norvasc

• CD4 325 HIV Viral load 45,345• Creatinine 401 K+ 5.4 mmole/l

CASE 2

DATE REGIMEN CREATNINE2000 Nil 3542001 AZT/3TC/RTV/LPV 3672002 AZT/3TC/RTV/LPV 3522003

2004-11AZT/3TC/RTV/LPVAZT/3TC/RTV/LPV

365372

CD4 860 HIV Viral load<39Urinary protein < 800mg/24 hrs