David H. Spach, MD
HIV Web Study
In the past decade, MRSA has emerged as a prominent cause of community-acquired skin and soft tissue infections. This case discussed the mechanisms of antimicrobial resistance, clinical manifestations and approach to different types of skin and soft tissue infections in which MRSA may be involved. IDSA guidelines for the management and decontamination of MRSA are reviewed.
Some patients unfortunately have persistently low CD4 cell counts despite achieving sustained HIV RNA suppression. This case reviews the normal immunologic recovery with different antiretroviral regimens, the potential causes of poor immunologic recovery, and data from the ESPRIT and SILCAAT trials.