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JD was transferred to our hospital from a regional medical center where he had been diagnosed with pulmonary tuberculosis. His care had been complicated by volume overload from dilated cardiomyopathy, chronic kidney disease and a deep vein thrombosis. When his HIV test returned positive, the added complexity sparked rigorous discussion among several members of the care team about the optimal choice of antiretroviral therapy (ART) when considering drug-drug interactions and comorbidities. When discussing the multiple aspects of his clinical care, it came as a surprise when JD responded to the team’s ‘new’ diagnosis of HIV with a shrug of his shoulders: “I’ve known about that for years...” . . . 

Mehtani N, Maddali M, Shah M. HIV-ASSIST. HIVSpecialist. June 2019.