Hiv

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Abstract Number: 171

LENGTH OF HOSPITAL STAY AND DISCHARGE OUTCOMES AMONG PATIENTS WITH HUMAN IMMUNODEFICIENCY VIRUS-ASSOCIATED PULMONARY ARTERIAL HYPERTENSION (HIV-PAH) IN THE UNITED STATES

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 [...]

By | 2019-03-18T17:58:04+00:00 March 18th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on LENGTH OF HOSPITAL STAY AND DISCHARGE OUTCOMES AMONG PATIENTS WITH HUMAN IMMUNODEFICIENCY VIRUS-ASSOCIATED PULMONARY ARTERIAL HYPERTENSION (HIV-PAH) IN THE UNITED STATES

Abstract Number: 980

AN UNCOMMON CASE OF ACUTE LIVER FAILURE FROM HEPATITIS A WITH SUCCESSFUL LIVER TRANSPLANTATION

Case Presentation: 28 year old male with history of HIV (since 2015, well controlled with last CD4 > 1,000 on Genvoya) presents with non-specific complaints of fevers, chills, headache, nausea and vomiting for several days. [...]

By | 2019-03-11T14:41:42+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on AN UNCOMMON CASE OF ACUTE LIVER FAILURE FROM HEPATITIS A WITH SUCCESSFUL LIVER TRANSPLANTATION

Abstract Number: 979

A RARE CASE OF NEUROSYPHILIS PRESENTING WITH MENINGITIS AND OCULAR INVOLVEMENT IN AN HIV PATIENT WITH NEW ONSET SYPHILIS

Case Presentation: A 47-year-old male presented with a five-day history of intermittent frontal and retro-orbital headaches, blurry vision, photophobia associated with redness, tearing and pain of the left eye. His medical history was remarkable for [...]

By | 2019-03-11T14:41:40+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on A RARE CASE OF NEUROSYPHILIS PRESENTING WITH MENINGITIS AND OCULAR INVOLVEMENT IN AN HIV PATIENT WITH NEW ONSET SYPHILIS

Abstract Number: 938

PML-IRIS: SEIZE THE OPPORTUNITY

Case Presentation: A 28-year-old male with perinatal acquired immunodeficiency syndrome (AIDS) prescribed highly active antiretroviral therapy (HAART), complicated by progressive multifocal leukoencephalopathy (PML), recurrent herpes, and Hodgkin's lymphoma in remission presented in status epilepticus. Seizure [...]

By | 2019-03-11T14:40:27+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on PML-IRIS: SEIZE THE OPPORTUNITY

Abstract Number: 767

A RAPIDLY PROGRESSIVE DISSEMINATED KAPOSI SARCOMA FROM IMMUNE RECONSTITUTION INFLAMMATION SYNDROME: A CONUNDRUM FOR CLINICIANS

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 [...]

By | 2019-03-11T14:35:23+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on A RAPIDLY PROGRESSIVE DISSEMINATED KAPOSI SARCOMA FROM IMMUNE RECONSTITUTION INFLAMMATION SYNDROME: A CONUNDRUM FOR CLINICIANS

Abstract Number: 739

A CONSTERNATING CONSTELLATION: GASTRITIS, COLITIS, AND DERMATITIS IN AN HIV-POSITIVE MALE

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 [...]

By | 2019-03-11T14:34:34+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on A CONSTERNATING CONSTELLATION: GASTRITIS, COLITIS, AND DERMATITIS IN AN HIV-POSITIVE MALE

Abstract Number: 718

A KICK OUT OF KICS

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 [...]

By | 2019-03-11T14:33:58+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on A KICK OUT OF KICS

Abstract Number: 712

IT MAY SOUND CHEESY… AN INTERESTING CASE OF NEUROBRUCELLOSIS IN AN HIV PATIENT

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 [...]

By | 2019-03-11T14:33:47+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on IT MAY SOUND CHEESY… AN INTERESTING CASE OF NEUROBRUCELLOSIS IN AN HIV PATIENT

Abstract Number: 669

DISSEMINATED KAPOSI SARCOMA IN A PATIENT PRESENTING WITH DYSPHAGIA: TREATMENT CONSIDERATIONS IN HIGH-RISK SUBJECTS

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 [...]

By | 2019-03-11T14:32:38+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on DISSEMINATED KAPOSI SARCOMA IN A PATIENT PRESENTING WITH DYSPHAGIA: TREATMENT CONSIDERATIONS IN HIGH-RISK SUBJECTS

Abstract Number: 650

NEUROLOGIC SEQUELAE OF UNDIAGNOSED AIDS – A CASE REPORT

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 [...]

By | 2019-03-11T14:32:06+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on NEUROLOGIC SEQUELAE OF UNDIAGNOSED AIDS – A CASE REPORT

Abstract Number: 476

‘A SIGHT TO BE SEEN’ – OCULAR SYPHILIS IN A PATIENT WITH NEWLY DIAGNOSED HIV

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 [...]

By | 2019-03-18T17:12:27+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on ‘A SIGHT TO BE SEEN’ – OCULAR SYPHILIS IN A PATIENT WITH NEWLY DIAGNOSED HIV

Abstract Number: 353

THE IN-STEP PROJECT: IMPROVING ACCESS TO HIV PREVENTION FOR PATIENTS EVALUATED AFTER SEXUAL ASSAULT USING A MULTIDISCIPLINARY, PATIENT-CENTERED APPROACH

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, [...]

By | 2019-03-11T14:24:23+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on THE IN-STEP PROJECT: IMPROVING ACCESS TO HIV PREVENTION FOR PATIENTS EVALUATED AFTER SEXUAL ASSAULT USING A MULTIDISCIPLINARY, PATIENT-CENTERED APPROACH

HM2018 Abstract Number: 126

STOPPING HCV IN ITS TRACKS – EXPANDING HCV TESTING CAN HALT THE EPIDEMIC

Background: There is an estimated 160,000 individuals that have been diagnosed with Hepatitis C Virus (HCV) in New Jersey. HCV is a well-known and widespread challenge to personal, societal, and governmental resources and ultimately, human [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Innovations, Outcomes Research, Uncategorized|Comments Off on STOPPING HCV IN ITS TRACKS – EXPANDING HCV TESTING CAN HALT THE EPIDEMIC

HM2018 Abstract Number: 619

A Diagnostic Delay: Consequences of HIV screening limitations.

Case Presentation: A 22 year old man with no past medical history presented to our emergency department with three weeks of nausea, vomiting and abdominal pain. He also reported subjective fevers, hematochezia, hematemesis, oral ulcers, [...]

By | 2018-03-19T13:06:22+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on A Diagnostic Delay: Consequences of HIV screening limitations.

HM2017 Abstract Number: 236

MAKING A BIG IMPACT IN HIV TESTING WITH A SMALL EHR MODIFICATION

Background: The Centers for Disease Control and Prevention (CDC) estimates over 1.2 million Americans are living with HIV (human immunodeficiency virus). Of those, approximately 14% are unaware of their HIV-positive status. In 2014, most hospitals [...]

By | 2017-04-20T17:42:29+00:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on MAKING A BIG IMPACT IN HIV TESTING WITH A SMALL EHR MODIFICATION

HM2017 Abstract Number: 800

SHINGLES: AN HIV RED FLAG!

Case Presentation: A 36 year-old male came in to the ED with 2 day history of painful itchy rash on the left side of the neck and face. The patient denied any fever or chills. [...]

By | 2017-04-20T15:49:27+00:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SHINGLES: AN HIV RED FLAG!

HM2017 Abstract Number: 623

PRIMARY EFFUSION LYMPHOMA: A MASS-LESS DISEASE WITH MASSIVE EFFECTS

Case Presentation: A 44 year-old man with history of anemia and HIV on antiretroviral therapy (ART) with CD4 359 presented with a 3-month history of progressive bilateral lower extremity swelling, increasing abdominal girth, and scrotal [...]

By | 2017-04-20T16:12:36+00:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PRIMARY EFFUSION LYMPHOMA: A MASS-LESS DISEASE WITH MASSIVE EFFECTS

HM2017 Abstract Number: 604

AN UNUSUAL PLACE TO FIND SHIGELLA

Case Presentation: A 41 year old African American man history presented with 8 months of diarrhea with tenesmus. He had no past medical history and took no home medications. He also complained of cough and [...]

By | 2017-04-20T16:14:11+00:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNUSUAL PLACE TO FIND SHIGELLA

HM2017 Abstract Number: 535

AN UNEXPECTED MAC ATTACK!

Case Presentation:  A 32-year-old man with human immunodeficiency virus (HIV) presented with a painful and swollen right ankle. The patient had been well until 6 weeks ago when he developed a sprain followed by worsening [...]

By | 2017-04-20T16:24:27+00:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNEXPECTED MAC ATTACK!

HM2017 Abstract Number: 449

THE MAZE IN THE CASTLE: THE CHALLENGING DIAGNOSIS OF A RARE CAUSE OF DIFFUSE LYMPHADENOPATHY IN A PATIENT WITH HIV/AIDS

Case Presentation: A 49 year old man with AIDS on anti-retroviral therapy (CD4 count 113) presented to the hospital with dizziness, abdominal pain, and generalized fatigue and malaise. He developed fever as high as 39.9 [...]

By | 2017-04-20T16:31:27+00:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE MAZE IN THE CASTLE: THE CHALLENGING DIAGNOSIS OF A RARE CAUSE OF DIFFUSE LYMPHADENOPATHY IN A PATIENT WITH HIV/AIDS

HM2016 Abstract Number: 658

Three Infections, One Brain: Aids Patient with Cerebral Vasculitis

Case Presentation: A 30 year old male with history of recently diagnosed AIDS presented with altered mental status, fevers and 3 witnessed tonic-clonic seizures. His family reported that he had been complaining of progressive headaches [...]

By | 2017-04-17T12:10:00+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on Three Infections, One Brain: Aids Patient with Cerebral Vasculitis

HM2016 Abstract Number: 434

Infectious Sacroiliitis As a Cause of Lower Back Pain in an Immunocompromised Patient

Case Presentation: 43 year old HIV positive, type I diabetic female (on lopinavir-ritonavir, efavirenz; last CD4 count 942; negative viral load), presented to Emergency Department (ED) with lower back pain radiating bilaterally to buttocks for [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on Infectious Sacroiliitis As a Cause of Lower Back Pain in an Immunocompromised Patient

HM2016 Abstract Number: 788

Older People Need Sexual Histories Too: A Case of Neurosyphillis in an Elderly Gentleman Unknown to Have Hiv

Case Presentation: A 60-year old white male presented in June with progressive diplopia of ten days duration. Past medical history includes hypertension, coronary artery disease, and hyperlipidemia. Prior to his admission, he was seen by [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on Older People Need Sexual Histories Too: A Case of Neurosyphillis in an Elderly Gentleman Unknown to Have Hiv