title: Transformed occupational prospects for HIV-associated brain syndromes.
abstract: We report a case of a full-time worker with late undiagnosed HIV disease presenting as encephalopathy with motor features and a manic-like picture. HIV encephalopathy was a terminal condition before the advent of combination highly active anti-retroviral therapy (HAART). Treatment with HAART, with follow-up in a neuropsychiatric service and rehabilitation involving the occupational health department of his employer, produced a successful return to work. This case demonstrates a remarkable transformation in occupational and other outcomes of HIV-related brain disease in the era of HAART.
authors.affiliation: GKT School of Medical Education, Henriette Raphael House, Newcomen Street, London SE1 1UL, UK.
authors.forename: C
authors.initials: C
authors.lastname: Kennedy Hutchison
authors.affiliation: GKT School of Medical Education, Henriette Raphael House, Newcomen Street, London SE1 1UL, UK.
authors.forename: K
authors.initials: K
authors.lastname: Michaels
authors.affiliation: South London & Maudsley NHS Trust, Denmark Hill, London SE5 8AZ, UK.
authors.forename: D
authors.initials: D
authors.lastname: Summerfield
keywords: Anti-retroviral medication; HIV brain disease; occupational mental health.