Authors


Adam J. Brownstein, MD

Latest:

AHA/ACC & ESC/EAS Lipid Guidelines: Compare & Contrast Quiz

Dyslipidemia guidelines from the US and Europe take slightly different routes to similar ends. Test your knowledge of the twists and turns.


Alex Evans, PharmD

Latest:

COVID-19 or the Flu? Preparing for the Overlap

Worried about the upcoming flu season overlapping with COVID-19? Get up to date on available tests and the clinical aspects of the diseases with our quick article.


Ted Kyle, RPh, MBA

Latest:

Obesity and COVID-19: Meet Patients Where They Are

Americans with obesity and overweight are at greater risk for more severe COVID-19. Clinicians can support them best by asking how they can help.


AIDS Reader

Latest:

HIV Strains Becoming More Aggressive. What Does This Mean?

(AUDIO) In a brief podcast, the director of the University of North Carolina infectious diseases center ponders the implications of new HIV strains that lead to AIDS symptoms significantly faster than in the past. To him, the response is obvious. What troubles him is that not everyone seems to sense the urgency


Alejandro Ceballos-Salobre, DDS, MDS, MD, PhD

Latest:

Oral Plasmablastic Lymphoma

A previously healthy 43-year-old man was referred to the hospital for the diagnosis of a nodular lesion in the mandibular gingiva.


Alejandro Sanchez, MD

Latest:

Histoplasmosis-Associated Hemophagocytic Syndrome: A Case Report

Hemophagocytic syndrome is a macrophage disorder that may develop as a result of immunological activation, such as that seen in severe infection.


Allan Rodriguez, MD

Latest:

Recurrent Urothelial Bladder Cancer Among HIV-Infected Patients

We report 4 cases of bladder cancer in an ethnically diverse population of about 2500 HIV-infected patients. These patients were younger than the median age at diagnosis of bladder cancer in the United States.


Andrew Wilner, MD

Latest:

Progressive Multifocal Leukoencephalopathy in a Man with Long-Standing HIV

Here’s a case in point about progressive multifocal leukoencephalopathy in a patient with long-standing HIV who had never taken HART.


Anibal Maldonado, MD

Latest:

An HIV-Infected Patient With Fever, Pancytopenia, and Renal Failure: Is This End-Stage AIDS?

Histoplasmosis is a fungal infection caused by Histoplasma capsulatum. Although immunocompetent persons with H capsulatum infections are usually asymptomatic, several clinical syndromes can manifest in immunocompromised patients.


Anna K. Celaya, MPH

Latest:

Histoplasmosis-Associated Hemophagocytic Syndrome: A Case Report

Hemophagocytic syndrome is a macrophage disorder that may develop as a result of immunological activation, such as that seen in severe infection.


Anthony J. Ricketti, MD

Latest:

An HIV-Infected Patient With Nocardia asteroides Bilateral Pneumonia

Pneumonia remains a concern for persons with long-standing HIV infection. We pre­sent a case of a 43-year-old HIV-infected woman with bilateral pneumonia whose pre­sentation suggested the cause was a bacterial pathogen.


Anthony Victorio, MD

Latest:

Histoplasmosis-Associated Hemophagocytic Syndrome: A Case Report

Hemophagocytic syndrome is a macrophage disorder that may develop as a result of immunological activation, such as that seen in severe infection.


Bishoy Faltas, MD

Latest:

Preexposure Prophylaxis with Tenofovir or Emtricitabine-Tenofovir Reduces Herpes Simplex Virus Type -2 Transmission

This study demonstrates an added benefit to tenofovir-based preexposure prophylaxis regimens in preventing HSV-2.


Bruce J. Dezube, MD

Latest:

Isolated Unilateral Acute Retinal Necrosis Syndrome as the Initial Manifestation of HIV Infection

The lifetime cumulative risk of at least 1 abnormal ocular lesion for an HIV-positive person ranges from 52% to 100%. Ophthalmic involvement can occur during the early phase of HIV infection, and ocular lesions are mainly noted in the posterior segment.1,2


Bruce Polsky, MD

Latest:

Elephantiasis Nostras Verrucosa Secondary to Kaposi Sarcoma: A Rare Case

A 52-year-old woman presented with a 2-year history of progressive bilateral lower extremity edema and increasing pain. The patient complained of shortness of breath, productive cough, and rash on the upper extremities and torso for the past year.


Carolyn Chu, MD

Latest:

Current Health Disparities in HIV/AIDS

The CDC and other public health organizations have identified numerous disparities in the incidence and outcomes of HIV disease among different population groups


Catherine F. Decker, MD

Latest:

Unusual Case of Pneumocystis jiroveci Pneumonia During Primary HIV Infection

Symptomatic primary HIV infection occurs in an estimated 50% to 90% of patients. A constellation of symptoms that most closely resembles those of acute infectious mononucleosis characterizes the syndrome.


Catherine V. Boulanger, MD

Latest:

Recurrent Urothelial Bladder Cancer Among HIV-Infected Patients

We report 4 cases of bladder cancer in an ethnically diverse population of about 2500 HIV-infected patients. These patients were younger than the median age at diagnosis of bladder cancer in the United States.


Charles Hicks, MD

Latest:

HIV Testing in the Emergency Department

In a recent editorial in The AIDS Reader, the “burden of responsibility for routine HIV testing” was accurately described as now falling on all clinicians, including those in emergency departments (EDs). Routine HIV testing in the ED seems logical because patients who seek health care in the ED are often underinsured and have low incomes, the very populations with a higher prevalence of undiagnosed HIV.


Chris Beyrer, MD, MPH

Latest:

Public Health and Human Rights: Evidence-Based Approaches

The words HIV or AIDS do not appear in the title of this book, and at first glance, this book appears to be about something else. On the contrary, it is about HIV and much more.


Christina Le, MD

Latest:

HIV-Associated Pseudotumor Cerebri: A Case Report and Literature Review

Idiopathic intracranial hypertension is a cause of vision loss in HIV-positive patients. In many patients with controlled HIV disease, idiopathic intracranial hypertension develops without any other apparent cause.


Christopher J. Hoffmann, MD, MPH

Latest:

Routine HIV Screening, Part 2: Beyond Testing and Referral

Jake” was a 17-year-old high school student who came to see me with his supportive but anxious mother. Four months earlier, Jake’s pediatrician, having read the CDC recommendations for routine testing of all patients aged 13 to 64,


Cyril Goshima, MD

Latest:

Progression of Kaposi Sarcoma Associated With Iatrogenic Cushing Syndrome in a Person With HIV/AIDS

The prevalence of Kaposi sarcoma (KS) in HIV-infected persons in the pre-HAART era has been reported to be as high as 20%. Although AIDS-associated KS has declined by more than 80% since the introduction of highly active antiretroviral regimens, KS remains an important malignancy in the HIV-infected population


Daniel Skiest, MD

Latest:

Subacute Onset of Paralysis in a Person With AIDS

The pathogen Toxoplasma gondii is an intracellular protozoan that most commonly presents in persons with AIDS as reactivation of latent infection.


David K. Byers, MD

Latest:

Unusual Case of Pneumocystis jiroveci Pneumonia During Primary HIV Infection

Symptomatic primary HIV infection occurs in an estimated 50% to 90% of patients. A constellation of symptoms that most closely resembles those of acute infectious mononucleosis characterizes the syndrome.


David M. Aboulafia, MD

Latest:

Establishing an Anal Dysplasia Clinic for HIV-Infected Men: Initial Experience

Prolonged exposure to high-risk strains of human papillomavirus (HPV) and the dysplastic effects that HPV exerts on cells of the squamocolumnar transitional junction of the anal canal lead to anal intraepithelial neoplasia (AIN), which is a precursor to squamous cell carcinoma of the anus (SCCA).1 Anal HPV infection is present in 93% of HIV-positive men who have anoreceptive intercourse.2 Furthermore, anal dysplasia of any grade has been reported in 56% of HIV-infected men who participate in anoreceptive intercourse.3,4


David W. Unkle, MSN, RN

Latest:

An HIV-Infected Patient With Nocardia asteroides Bilateral Pneumonia

Pneumonia remains a concern for persons with long-standing HIV infection. We pre­sent a case of a 43-year-old HIV-infected woman with bilateral pneumonia whose pre­sentation suggested the cause was a bacterial pathogen.


Deborah Nagle, MD

Latest:

The Changing Face of Anal Cancer

Cancer of the anal canal is a relatively uncommon disease in the United States. It accounts for about 2% of the cancers of the GI tract; about 5000 cases will be diagnosed this year. Squamous cell carcinoma of the anus (anal SCC) is of particular interest to the infectious disease specialist because it is one of the cancers associated with HIV infection in men who have sex with men (MSM).


Debra Gordon

Latest:

Conquering the HIV+ Patient's Special Challenges With Smoking Cessation

There are many reasons why people infected with HIV are more likely to be smokers, and the condition makes it a challenge to quit. But many do want to stop smoking, and a new program shows how to tailor the effort for them.


Debra Gordon, MS

Latest:

Antiretroviral Therapy: Short-Term, Earlier Interventions Show Promise

New guidelines on the use of antiretroviral therapy, together with recently published studies, highlight the benefits of early, short-term treatment on outcomes, clinical signs of the disease, morbidity and mortality, and secondary transmission.

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