HIV

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