Test Your Knowledge of HIV: Managing a High-Risk, Young Patient
Diana Finkel, DO
Assistant Professor of Medicine
Program Director, Infectious Diseases Fellowship Program
Rutgers New Jersey Medical School
Newark, New Jersey
Finkel D. Test your knowledge of HIV: managing a high-risk, young patient. Consultant360. Published online August 2, 2021.
A 19-year-old man presents to your clinic for an annual influenza vaccination and routine check-up before returning to college for the fall semester.
During the history-taking process, the patient says he is happy to be independent in college and has become sexually active recently. He has had several male partners since he saw you last. He also reports potentially being exposed to syphilis one month prior to his visit. He had presented to the campus health department at that time, during which visit he was tested for syphilis. Results were negative, but he had received preemptive treatment anyway.
At his current visit, the patient is asymptomatic. However, knowing that being exposed to one sexually transmitted infection (STI) raises the risk of exposure to other STIs like HIV, you consult the Centers for Disease Control and Prevention’s guidelines on STIs, which were updated recently. You decide to conduct a 3-part STI test (ie, oral, genital, rectal) and a rapid HIV test, results of which are negative.
Answer and discussion on next page.