ASHM Report Back
Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.
Breakfast Case Presentations
Presenters: Rekha Pai Mangalore; Shu Jin Tan; Prianka Puri; David Griffin.
The early bird not only got the worm, it got fungi, bacteria, a host of psychosocial and engagement challenges and Haemophagocytic lymphangiohistiocytosis.
The case presentation was a wealth of diagnostic and treatment dilemmas in late presenting, immunosuppressed patients. All were from different parts of the world, and all proved Higgins Dictum will always hold true in immune suppression: Patients can have as many diagnoses as they damn well please.
Cases included disseminated histoplasmosis; HLH driven by HIV with concomitant nasal NK/T-cell lymphoma; a cryptococcal IRIS unmasked by ART initiation in an unscreened Australian gentleman; and a challenging tertiary syphilis involving gummatous and neurological disease.