A case of apparent resistance to all available antiretroviral drugs in a HIV-positive patient.
We describe a case of multidrug and class resistant HIV in a patient with psychological issues affecting his adherence. The complexities involved in subsequent treatment decisions when resistance interpretation algorithms are discordant are discussed.
Chibo
Doris
D
Victorian Infectious Diseases Reference Laboratory, North Melbourne, Vic., Australia. doris.chibo@mh.org.au
Roth
Norman
N
Birch
Chris
C
D000328:Adult; D019380:Anti-HIV Agents / Q000008:administration & dosage; D023241:Antiretroviral Therapy, Highly Active / Q000379:methods; D024921:Drug Resistance, Multiple, Viral / Q000187:drug effects* / Q000235:genetics*; D004359:Drug Therapy, Combination; D005838:Genotype; D015658:HIV Infections / Q000188:drug therapy* / Q000821:virology; D017320:HIV Protease Inhibitors / Q000008:administration & dosage; D015497:HIV-1 / Q000187:drug effects* / Q000235:genetics*; D006801:Humans; D008297:Male; D012367:RNA, Viral / Q000235:genetics; D018894:Reverse Transcriptase Inhibitors / Q000008:administration & dosage; D019562:Viral Load
D019380:Anti-HIV Agents; D017320:HIV Protease Inhibitors; D012367:RNA, Viral; D018894:Reverse Transcriptase Inhibitors