MARCH 01, 2007

Case Scenario - HIV

AJ is a 34-year-old black male who is referred to your clinic after having tested positive for HIV at the local health department. Blood is drawn, and an appointment is scheduled for 3 weeks later. At his appointment, you find out that his past medical history is unremarkable, except for a history of hypertension, which is controlled with hydrochlorothiazide 25 mg daily.

His laboratory results are as follows:

CD4 count 210 cells/mm3
Viral load 120,000 copies/mL
Sodium 136 mmol/L
Potassium 4.2 mmol/L
Chloride 105 mmol/L
Carbon dioxide 28 mmol/L
Serum creatinine 0.9 mg/dL
Blood urea nitrogen 6 mg/dL
Fasting blood glucose 87 mg/dL
Calcium 9.4 mg/dL
Hepatitis A, B, C negative
Urinalysis Within normal limits
Complete blood count (CBC) Within normal limits
Rapid plasma reagin Negative
Toxoplasmosis IgG antibody Negative
Albumin 4.1 g/dL
Total bilirubin 1.1 mg/dL
Aspartate aminotransferase 24 IU/L
Alanine aminotransferase 17 IU/L
Lipid profile Within normal limits