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An Asymptomatic 41-Year-Old Man With HIV Infection
Discussant Harvey J. Makadon, MD
JAMA. 1999;281:739-744.
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INTRODUCTION
DR DELBANCO: Mr K is a 41-year-old man who is clinically well but infected with the human immunodeficiency virus (HIV). An immigrant to the United States, he owns a retail business near Boston, Mass. He is covered by a commercial managed care insurance plan and, since 1994, has received care from a faculty physician in the primary care practice at the Beth Israel Deaconess Medical Center.
Mr K is gay and was in a primarily monogamous relationship since the 1980s. Mr K believes he contracted HIV infection from his partner, who had multiple partners prior to their relationship. In 1990, Mr K had a short episode of upper respiratory tract viral symptoms, with cough and fever, and subsequent test results were positive for HIV infection. His partner was tested and was also found to be HIV positive. Mr K became extremely depressed for several months . . . [Full Text of this Article]
MR K: HIS UNDERSTANDING AND PERCEPTIONS
DR B: HIS UNDERSTANDINGS AND PERCEPTIONS
AT THE CROSSROADS: QUESTIONS TO DR MAKADON
Initiating Care of People With HIV Infection Preventing Progression of Immunodysfunction in Asymptomatic Individuals Living With HIV and AIDS Evolving Models of HIV Care
QUESTIONS AND DISCUSSION
Author Affiliation: Dr Makadon is Vice President, Medical Affairs, Beth Israel Deaconess Medical Center, and Associate Professor of Medicine, Harvard Medical School, Boston, Mass.
RELATED ARTICLE
February 24, 1999
JAMA. 1999;281(8):769-770.
EXTRACT
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
An Asymptomatic 41-Year-Old Man With HIV Infection, 1 Year Later
Delbanco and Hartman
JAMA 1999;282:1176-1176.
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