Texila American University
Case Report Format
TITLE OF CASE : A non -HIV Patient getting exposed to semen of a HIV positive man(who has undetectable VL) at the hand having an open cut .( a case report sent through mail seeking advice ) Dr. Matin Ahmad Khan , MMSc Student (HIV Medicine ) , Texila American University SUMMARY /ABSTRACT : It is not uncommon getting exposed to body fluids of an HIV infected partner in a sero discordant (magnetic couples) set ups. This is an interesting case report involving many issues about the transmissibility of HIV infection in. Often We do get queries from freaking guys -- seeking advice reg HIVs probability of acquisition under some very uncommon conditions .The importance of answering this kind of scenarios lies in the fact that it would help many-- including the questioner itself. The questioners HIV-acquisition risks are extremely low (theoretically) & unwarranted and we will try to put his/her fears to rest by examining the issues involved in this case critically and coming up with scientifically based explanations and accordingly advice him/her taking into the considerations of HIV Testing and Treatment Policies and Guidelines of the land available . BACKGROUND : Why you think this case is important why did you write it up?
This case is most interesting educative and unique as it involves almost all issues related to HIV : --Scanty information --withholding his/her name and gender (possibly due to stima/discrimination issues ! ) forwarded by the questioner and issues involving responses to various situations in sero-discordant
couples (called magnetic couples where one of the partners is positive and other is negative) ------- exposure in unique non-occupational yet non sexual mode , counseling ,testing issues, ,initiating nPEP( Non occupational Post Exposure Prophylaxis ) and PrEP (Pre Exposure Prophylaxis TasP (Treatment as Prevention ) and HTPN 052 Study .
I have incorporated this as a case report as it has given me maximum length and width to think about HIV in Srodiscordant issues . I take it that this is going to be a very good case report for learning all the issues involved forall alike -specialists, physicians and PG Students
This case report covers the following four issues:
I. II. III. IV. V. Transmission of HIV/AIDS per se Transmission of HIV/AIDS in non-occupational yet non-sexual setups Transmission of HIV/AIDS in magnetic couples (oppositely charged /discordant couples) more so in non-detectable Viral load (VL) situations under ART Testing issues & discussion about awareness about nPEP ,& PrEP HIV patients not coming out with full information (Stigma/Discrimination?)
. INVESTIGATIONS DIFFERENTIAL DIAGNOSIS TREATMENT.
Texila American University
Case Report Format
OUTCOME AND FOLLOW-UP DISCUSSION
LEARNING POINTS/TAKE HOME MESSAGES : REFERENCE:
FIGURE/VIDEO CAPTIONS
OPERATIVE PHOTOGRAPHS OF TENDOACHILLIS RUPTURE.
Texila American University
Case Report Format