title: Extremely high HIV-1 viral load in a patient with undiagnosed clinical indicator disease for HIV infection.
abstract: We report a case of a new diagnosis of HIV with an extremely high viral load presenting with HIV encephalopathy, in a 54-year-old woman who had been treated with 2 years of extended high-dose immunosuppressant therapy for a recalcitrant pruritic rash before diagnosis.
authors.affiliation: Department of Infection and Immunology, Royal London Hospital, London, UK.
authors.forename: Stuart
authors.initials: S
authors.lastname: Flanagan
authors.affiliation: North Middlesex Hospital, London, UK.
authors.forename: Sophia
authors.initials: S
authors.lastname: De Saram
authors.affiliation: Department of Sexual Health, Barking Community Hospital, London, UK.
authors.forename: Rageshri
authors.initials: R
authors.lastname: Dhairyawan
mesh_terms: D015526:AIDS Dementia Complex / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D019380:Anti-HIV Agents / Q000008:administration & dosage*; D044383:Black People; D018791:CD4 Lymphocyte Count; D000069454:Darunavir / Q000008:administration & dosage; D057210:Delayed Diagnosis; D003876:Dermatitis, Atopic / Q000188:drug therapy / Q000276:immunology / Q000821:virology*; D000069480:Emtricitabine, Tenofovir Disoproxil Fumarate Drug Combination / Q000008:administration & dosage; D005260:Female; D015497:HIV-1 / Q000276:immunology* / Q000302:isolation & purification; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage* / Q000009:adverse effects; D008875:Middle Aged; D011237:Predictive Value of Tests; D011239:Prednisolone / Q000008:administration & dosage* / Q000009:adverse effects; D000068898:Raltegravir Potassium / Q000008:administration & dosage; D019438:Ritonavir / Q000008:administration & dosage; D016896:Treatment Outcome; D019562:Viral Load / Q000187:drug effects / Q000276:immunology*
chemical_list: D019380:Anti-HIV Agents; D000069480:Emtricitabine, Tenofovir Disoproxil Fumarate Drug Combination; D007166:Immunosuppressive Agents; D000068898:Raltegravir Potassium; D011239:Prednisolone; D019438:Ritonavir; D000069454:Darunavir