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Case Report

Online Publishing Date:
14 / 05 / 2021

 


Newly Diagnosed HIV in a Case of Dementia

Thomas Chandy Varkey, Zachary Issac Merhavy, Cheney E Huls, Emily C Courtois, Jeffery R Richards.


Abstract
A sixty-eight (68) year old female patient with a previous medical history of dementia and cataracts presents to the emergency room with a syncopal episode as her chief complaint. As part of the workup, per policy, a Human Immunodeficiency Virus (HIV) rapid antigen/antibody test was administered. After receiving a positive test result, a discussion between the residents and attendings began regarding the patient’s safety, as HIV positive tests among patients with dementia can be indicators of elder abuse. Further detailed history was taken, showing a past Hepatitis C positive test and a remote history of illicit intravenous (IV) drug use in the 1980s and 1990s. This, coupled with the patient’s high level of comfort around the daughter, as well as the patient’s lack of bruising and low CD4+ count, resulted in the conclusion that her new positive test was most likely due to an older infection from remote illicit IV drug use. Due to this evidence, it was deemed that she was safe to return home and begin treatment for her newly diagnosed conditions with highly active antiretroviral therapy (HAART). The care team ensured that the patient was referred to an HIV clinic near where she lived and that the daughter was properly informed of all necessary actions needed for her mother’s continued care.

Key words: Ethics, Dementia, HAART, HIV, Adult Protective Services, Legal, Screening, Confirmative


 
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How to Cite this Article
Pubmed Style

Varkey TC, Merhavy ZI, Huls CE, Courtois EC, Richards JR. Newly Diagnosed HIV in a Case of Dementia. Int J Med Rev Case Rep. 2021; 5(4): 38-40. doi:10.5455/IJMRCR.HIV-DEMENTIA-683

Web Style

Varkey TC, Merhavy ZI, Huls CE, Courtois EC, Richards JR. Newly Diagnosed HIV in a Case of Dementia. https://www.mdpub.net/?mno=65645 [Access: April 04, 2024]. doi:10.5455/IJMRCR.HIV-DEMENTIA-683

AMA (American Medical Association) Style

Varkey TC, Merhavy ZI, Huls CE, Courtois EC, Richards JR. Newly Diagnosed HIV in a Case of Dementia. Int J Med Rev Case Rep. 2021; 5(4): 38-40. doi:10.5455/IJMRCR.HIV-DEMENTIA-683


Vancouver/ICMJE Style

Varkey TC, Merhavy ZI, Huls CE, Courtois EC, Richards JR. Newly Diagnosed HIV in a Case of Dementia. Int J Med Rev Case Rep. (2021), [cited April 04, 2024]; 5(4): 38-40. doi:10.5455/IJMRCR.HIV-DEMENTIA-683


Harvard Style

Varkey, T. C., Merhavy, . Z. I., Huls, . C. E., Courtois, . E. C. & Richards, . J. R. (2021) Newly Diagnosed HIV in a Case of Dementia. Int J Med Rev Case Rep, 5 (4), 38-40. doi:10.5455/IJMRCR.HIV-DEMENTIA-683


Turabian Style

Varkey, Thomas Chandy, Zachary Issac Merhavy, Cheney E Huls, Emily C Courtois, and Jeffery R Richards. 2021. Newly Diagnosed HIV in a Case of Dementia. International Journal of Medical Reviews and Case Reports, 5 (4), 38-40. doi:10.5455/IJMRCR.HIV-DEMENTIA-683


Chicago Style

Varkey, Thomas Chandy, Zachary Issac Merhavy, Cheney E Huls, Emily C Courtois, and Jeffery R Richards. "Newly Diagnosed HIV in a Case of Dementia." International Journal of Medical Reviews and Case Reports 5 (2021), 38-40. doi:10.5455/IJMRCR.HIV-DEMENTIA-683


MLA (The Modern Language Association) Style

Varkey, Thomas Chandy, Zachary Issac Merhavy, Cheney E Huls, Emily C Courtois, and Jeffery R Richards. "Newly Diagnosed HIV in a Case of Dementia." International Journal of Medical Reviews and Case Reports 5.4 (2021), 38-40. Print. doi:10.5455/IJMRCR.HIV-DEMENTIA-683


APA (American Psychological Association) Style

Varkey, T. C., Merhavy, . Z. I., Huls, . C. E., Courtois, . E. C. & Richards, . J. R. (2021) Newly Diagnosed HIV in a Case of Dementia. International Journal of Medical Reviews and Case Reports, 5 (4), 38-40. doi:10.5455/IJMRCR.HIV-DEMENTIA-683


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