HIV

Question 1

HIV Presentation

Answer 1

• Illness resembles glandular fever (fevers, sweats, malaise, lethargy, anorexia, nausea, myalgia…)
• Most specific is maculopapular rash affecting upper part of body and mucosal ulcers in mouth and genital areas
• Can get GI features
• Starts 2-6 weeks after exposure and resolved in a week or two
• Commensural infections as CD4 counts drop

Question 2

HIV Differentials

Answer 2

• Infectious mononucleosis caused by EBV
• Toxoplasmosis
• Rubella

Question 3

HIV Ix (FBC result?)

Answer 3

• Thrombocytopenia, mild anaemia, atypical lymphocytes

- HIV antibody and p24 antigen tests

Question 4

HIV Management

Answer 4

• ART immediately after diagnosis

- INSTI based