Case report: HIV-associated neurocognitive disorder & myelopathy in patient with preserved CD4, but high viral load

HIV-associated neurocognitive disorder and HIV-associated myelopathy in a patient with a preserved CD4, but high viral load-a rarely reported phenomenon: a case report and literature review. 

Ayele, B.A., Amogne, W. & Gemechu, L.

BMC Infect Dis 20, 574 (2020). https://doi.org/10.1186/s12879-020-05297-9

This case supports the current understanding regarding the persistent occurrence of HIV-associated neurocognitive disorder and HIV-associated myelopathy even decades after introduction of cART. Therefore, it’s important to screen HIV+ patients for the HAND and HAM even if they have relatively preserved immunity.

Because patient can be easily shifted to ART drugs with better CNS penetrating potential to achieve acceptable virological suppression level, to observe sound clinical improvement.

Abnormal Uterine Bleeding – RACGP seminar by Dr Amy Moten

RACGP, August 2020

SHINE SA’s Sexual Health Practitioner, Dr Amy Moten will be presenting an online webinar on behalf of the RACGP on Abnormal Uterine Bleeding.  

Abnormal uterine bleeding is a common presentation in general practice with heavy menstrual bleeding affecting 25% of people who are menstruating. This presentation will discuss the common causes of heavy menstrual bleeding and other menstrual irregularities and describe appropriate investigation and management of abnormal uterine bleeding.

COST: FREE (for RACGP Members)
DATE: Tuesday 11 August 2020
TIME: 7:00 pm – 8:30 pm ACST

 

Diagnosis and Management of Syphilis in Patients With HIV Co-infection

Khaw, C., Malden, C., Ratnayake, M. et al. Diagnosis and Management of Syphilis in Patients With HIV Co-infectionCurr Treat Options Infect Dis (2020). https://doi.org/10.1007/s40506-020-00225-6

Published

Purpose of review

Syphilis cases are on the increase especially in men who have sex with men (MSM) in urban areas of high-income countries.

There is a strong association between syphilis and HIV infections.

We review the more recent literature regarding the epidemiology, clinical manifestations, diagnostic investigations, treatment and follow-up of syphilis in HIV infection.

  • Read abstract here (For full text access you can purchase from the publisher or see your librarian)

New fact sheet from SHINE SA: Trichomoniasis

SHINE SA, 17th June 2020

Trichomoniasis is a genital infection caused by the organism trichomonas vaginalis. It is spread through sexual contact.

You can learn more about trichomoniasis by reading our new Fact Sheet.

 

 

COVID-19 and viral hepatitis FAQs  in English, Korean, Chinese

Hepatitis NSW, May 2020

Since the COVID-19 virus is so new and can be life threatening, there are many unknown factors at play. This is even more so for people with pre-existing health conditions to consider. To help address those concerns and to answer the frequently asked questions, Hepatitis NSW has now compiled a number of online resources. 

All pages are based on the most up to date information and will be updated frequently.

 

Thorne Harbour Health calls for community to stop having casual sex during COVID-19

Thorne Harbour Health – media release, 26 March 2020

For the first time in its four-decade history, Thorne Harbour Health is calling on communities to stop having casual sex in the face of 2019 novel coronavirus (COVID-19).

Thorne Harbour Health, formerly the Victorian AIDS Council, is calling on LGBTI communities and people living with HIV to limit their risk of COVID-19 transmission.

Thorne Harbour Health CEO Simon Ruth said, “We’re faced by an unprecedented global health crisis. While COVID-19 is not a sexually transmitted infection, the close personal contact we have when during sex poses a serious risk of COVID-19 transmission. We need people to stop having casual sex at this stage.”

“But after four decades of sexual health promotion, we know abstinence isn’t a realistic strategy for most people. We need to look at ways we can minimise risk while maintain a healthy sex life.”

Last week, the organisation released an info sheet with strategies to minimise the risk of COVID-19 while having sex. Strategies included utilising sex tech, solo sexuality, and limiting your sexual activity to an exclusive sexual partner, commonly known as a ‘f*ck buddy’.

“You can reduce your risk by making your sexual network smaller. If you have a regular sexual partner, have a conversation about the risk of COVID-19 transmission. Provided both of you are limiting your risk by working from home and exercising physical distancing from others, you can greatly reduce you chance of COVID-19 transmission,” said Simon Ruth.

The organisation’s stance is not dissimilar from advice from the UK government. Earlier this week, chief medical officer Dr Jenny Harries advised couples not cohabitating to consider testing their relationship by moving in together during the country’s lockdown.

Thorne Harbour Health CEO Simon Ruth released a video message today addressing sex & COVID-19 following last week’s message about physical distancing.