HIV Clinical Care Discussion in Ethiopia
The following lectures and case discussions were broadcast live from the Johns Hopkins Center for Clinical Global Health Education to Ethiopian health workers from the Ethiopian Civic Service College, Addis Ababa University, Addis Ababa Federal Hospital, and other private hospitals and clinics. These discussions are held to share the expertise of Johns Hopkins Infectious Disease physicians with healthcare providers practicing in Ethiopia, and were transmitted via the World Bank Videoconferencing Facility in the capital city of Ethiopia, Addis Ababa.
View Live Webcast of Care Discussion: Next Discussion, November 13 @ 8:00 AM [EDT]
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Presenters : Wondwossen Amogne, MD and Admasu Tenna, MD Addis Ababa University; John Bartlett, MD, Bob Bollinger, MD, Johns Hopkins University; , MD, NIH
Air Date: October 23, 2009
Length: 1 Hour 10 minutes
Case 1: #174: 52yo male w/late stage HIV infection; hx of multiple ART regimes and inconsistent adherence referred for suspected treatment failure
Case 2 : #175: 33yo HIV seronegative male presents with headache malaise x2mos & lethargy & confusion x2wks; imaging reveals multiple ring enhancing lesions
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Presenters Wondwossen Amogne, MD, & Tolera Wyes, MD, Addis Ababa University; Zelelam Temesgen, MD, Mayo Clinic; Dawd Siraj, MD, East Carolina
Air Date: September 4, 2009
Length: 1 Hour 10 minutes
Case 1: #172: 30yo male HIV+ x14 mos and hx of chronic HBV; on HAART x 3mos started on anti-TB 5wks prior presents w/weakness, decreased appetite & icteric sclera
Case 2: #173: 35yo male HIV+ x6 mos; 3mos after HAART initiation, presents with abdominal pain & RUQ swelling x1mo; hypo-dense splenic mass on sonogram
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Presenters : Wondwossen Amogne, MD and Admasu Tenna, MD Addis Ababa University; Meg Doherty, MD, Johns Hopkins University; Zelelam Temesgen, MD, Mayo Clinic; Dawd Siraj, MD, East Carolina
Air Date: August 21, 2009
Length: 1 Hour 11 minutes
Case 1: #171: 38 yo male HIV+ x 5yrs, Asymptomatic & naive for ART, wife seronegative for HIV,couple seeking advice to concieve without risking HIV infection.
Case 2 : #170: 25 yo female presents w/global headache x6 mo., visual impairment x1mo; hx of left side pleurisy 3 yr ago.
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Presenters Wondwossen Amogne, MD, Addis Ababa University
Air Date: July 31, 2009
Length: 1 Hour 10 minutes
Case 1: #168: 31 yo female on HAART x 1yr presents w/dry cough + SOB x 2 mos; bilat swelling in lower limbs + nightsweats x 1mo.
Case 2: #169: 32 yo female symptomatic x 2 yrs w/intermittent fevers & 20kg weight loss in 6 mos; rapid HIV test neg multiple times.
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Presenters : Wondwossen Amogne, MD, Addis Ababa University; Andrea Ruff, MD and John Bartlett, MD Johns Hopkins University; Zelelam Temesgen, MD Mayo Clinic
Air Date: July 10, 2009
Length: 40 minutes
Case 1: #167: 17yo girl w/sore throat, fever, lymphadenopathy x3days; symptoms progressed rapidly; mother disclosed girl had HIV+ test at age 10
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Presenters : Drs. Alemayehu Mekonnen, Birhanu Gudeta, Meseret Gebre, Anteneh Kassa, Addis Ababa University; Andrea Ruff, MD and Nancy Hutton, MD, John Bartlett, MD Johns Hopkins University
Air Date: June 19, 2009
Length: 1 Hour 26 minutes
Case 1: #165: 3 yo HIV+ boy presents w/persistent diarrhea, severe acute malnutrition & oral candidiasis
Case 2: #166: 3 yo HIV+ male presents w/acute L-sided hemiparesis & partial seizure, 6 mos post initiation of ART; duration of 3 mos
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Presenters : Alemayehu Mekonnen, MD, Addis Ababa University; Andrea Ruff, MD and Nancy Hutton, MD, Meg Dohoughty, MD, Lori Jordan, MD Johns Hopkins University
Air Date: May 8, 2009
Length: 1 Hour 36 minutes
Case 1: #163: 11yo male HIV+ x 1mos presents with severe global headache, projectile vomiting 1wk post HAART initiation worsening w/fever, neck stiffness and photophobia
Case 2: #164: 9mo female admitted to hospital w/vomiting of ingested matter x1wk; hx of repeated attacks of convulsion, unable to sit, no response to loud noise
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Presenters: Wondwossen Amogne, MD Addis Ababa University; Zelalem Temesgen, MD, Mayo Clinic; Dawd Siraj, MD, East Carolina University; John Bartlett, MD,and Andrea Ruff, MD, Johns Hopkins University
Air Date: April 24, 2009
Length: 1 Hour 20 Minutes
Case 1: #160: 11yo boy dx w/HIV 3yrs prior; develops vesicular lesions on trunk, face, extremities, & fever x 4 days; dry cough and progressive SOB x2days
Case 2: #161: 30yo female dx w/miliary TB post delivery; develops vesicular skin lesions over trunk, palms, soles, intermittent fever, cough and diarrhea
Case 3: #162: 30yo female dx w/HIV 2yrs ago; after 3mos HAART, present with matted L/node L anterior cervical triangle; FNAC reveals caseous necrosis; failure to heal 2mos post antiTB Tx
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Presenters : Alemayehu Mekonnen, MD, Addis Ababa University; Andrea Ruff, MD and Nancy Hutton, MD, Johns Hopkins University
Air Date: March 20, 2009
Length: 1 Hour 36 minutes
Case 1: #158: 3mo male healthy to 1mo dev cough, fast breathing, and fever at 2mos; 3 days prior to admission symptoms worsen despite abx tx
Case 2: #159: 5yo male presents w/cough x2wks, fever, night sweats and decr appetite; on HAART x 8mos; hx of TB, wght loss, and chronic diarrhea
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Presenters: Ibrahim Yeshanew, MD, Wondwossen Amogne, MD Addis Ababa University; Zelalem Temesgen, MD, Mayo Clinic; Dawd Siraj, MD, East Carolina University
Air Date: March 6, 2009
Length: 1 Hour 24 Minutes
Case 1: #156: 35yo male w/adanced AIDS, CD4<200 presents with focal neurologic deficits & non-enhancing brain lesions
Case 2: #157: 23yo female diagnosed w/ TB x2mos, HIV x 2wks on anti-TB & HAART therapy present w/ jaundic & +HCV Ab
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Presenters : Wondwossen Amogne, MD, Addis Ababa University; Zelalem Temesgen, MD, Mayo Clinic
Air Date: February 20, 2009
Length: 1 Hour
Case 1: #154: 28 yo female dx w/HIV 14 mos back following PIHCT
Case 2: #155: 70yo male who underwent supra-pubic cystostomy because of acute urinary retention and failed catheterization seven days earlier.
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Presenters: Hailu Beza Alemu, MD, Wondwossen Amogne, MD Addis Ababa University; Andrea Ruff, MD, Jean Andersen, MD, Johns Hopkins University
Air Date: February 6, 2009
Length: 1 Hour 24 Minutes
Case 1: #152: 32yo female first seen at 28wks gestation & tested HIV+; ARV started at 32wks; infant HIV+ at 15mos
Case 2: #153: 30yo dx w/HIV at 7mos gestation; ARV started; subsequent wght loss and IUFD at 8mos gestation; 2 mos later pt presents w/RUQ pain, vomiting x2wks and bloody diarrhea x 3days
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Presenters : John Bartlett, MD, Adrea Ruff, MD Johns Hopkins University; Wondwossen Amogne, MD, Addis Ababa University; Dawd Siraj, MD, East Carolina University; Zelalem Temesgen, MD, Mayo Clinic;
Air Date: January 30, 2009
Length: 1 Hour
Case 1: #149: 60yo female dx w/HIV following VCT presents w/painful persistent ulcer w/raised edges & granulating tissue at base on Rt lateral aspect of tongue x8mos, 1.5 x 2cm on PE
Case 2: #150: 30yo male w/HIV x2yrs w/no TX & sig wght loss presents w/fever, vomiting, hiccup & productiv cough x10days; fatigue, dyspnea, diarrhea & abdominal cramps
Case 3: #151: 28yo female newly dx w/advanced HIV presents w/fever, diarrhea & marked wght loss x3mos; global headache x1 wk & altered consciousness x2days
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Presenters: Solomie Jebessa, MD Addis Ababa University; Andrea Ruff, MD, Nancy Hutton, MD, and MD, Johns Hopkins University
Air Date: December 19, 2008
Length: 1 Hour 20 Minutes
Case 1: #147: 5yo female HIV+ chronically sick; LU mass in chest xray & soft tissue swelling on LU thorax - ?Burkett's Lymphoma?
Case 2: #148: 9yo female w/hx of chronic ear discharge & recurrent cough presents w/Stage II WHO progresses to Stage III; develops hepatotoxicity 18mos after initiation of HAART
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Presenters : John Bartlett, MD, Johns Hopkins University; Wondwossen Amogne, MD, Addis Ababa University
Air Date: December 5, 2008
Length: 1 Hour 22 minutes
Case 1: #146: 32yo female HIV+ presents w/morning stiffness and joint pain in knees, ankels, wrists and sholders x1mos
Special Lecture: Dr. Bartlett presents Five Global Infectious Disease Threats: Lessons Learned
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Presenters: Dawd Siraj, MD, East Carolina University; Ahmed A., MD, Tufa Gemechu, MD, & Wondwossen Amogne, MD Addis Ababa University;
Air Date: November 21, 2008
Length: 1 Hour 20 Minutes
Case 1: #144: 25yo female dx w/HIV 2mos prior was admitted for mid-abdom pain, vomitting, wght loss and intermittent fever, expires after 40days hospitalization
Case 2: #145: 38yo male dx w/HIV 2mos prior develops pancytopenia 8wks post AZT and CD4 reconstitution failure; reactive erththroid hyperplasia on bone marrow aspirate
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Presenters : Andrea Ruff, MD, Johns Hopkins University; Solomie Jebessa, MD, Anteneh Kassa, MD, Alemayehu Mekonnen, MD, Addis Ababa University
Air Date: November 7, 2008
Length: 1 Hour 22 minutes
Case 1: #142: 8yo male at 1yr and 8mo post ART initiation developed cough, initially dry, and later became productive of blood streaked sputum low grade fever, loss of appetite and loss of weight; hx of vomitting
Case 2: #143: 10yo male on ART x2yrd presents w/chief complaint of scalp lesion x2yrs; hx of recurrent skin rash, H. zoster and attacks of diarrheal diseases
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Presenters: John Bartlett, MD and Chris Hoffman, MD, Johns Hopkins University; Eyesusawit Shewangizaw, Md, Ferhun Molla, MD, Addis Ababa University;
Air Date: October 17, 2008
Length: 1 Hour 20 Minutes
Case 1: #139: 41yo male dx w/HIV 2001 and has had problems w/ART adherance now presents w/2kg wght loss, diarrhea, recurrent headache and URI
Case 2: #140: male dx w/TB and HIV in 2001 and started on anti-TB tx then ART; develops ZDV related anemia & is lost to f/u; pt returns 2007
Case 3: #141: 27yo male HIV+ presents w/chronic diarrhea, fever, and >20kg wght loss in 6mos
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Presenters : John Bartlett, MD, Johns Hopkins University; Zelalem Temesgen, MD, Mayo Clinic; Admassu Tenna, MD, Wondwossen Amogne, MD, Addis Ababa University
Air Date: October 3, 2008
Length: 1 Hour 22 minutes
Case 1: #137: 54yo male w/HIV x10yrs on HAART x 3yrs; presents w/dyspepia x6mos, wght loss, fatigue, postural dizziness & diffuse hyperpigmentation
Case 2: #138: 38yo female on HAART x4yrs presents w/ marked thirst, nocturia & wght loss; PMH - repeatedly seen for dyspepsia, loss of appetite, infreq vomiting & vulvovaginal candidiasis
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Presenters: Andrea Ruff, MD, Nancy Hutton, MD, Karla Alwood, CRNP Johns Hopkins University; Anteneh Kassa, MD, Solomie Jebessa, MD, Berhanu Gudetta, MD, MPH, Addis Ababa University;
Air Date: September 19, 2008
Length: 1 Hour 20 Minutes
Case 1: #135: 13yo boy on ARV since 2006 WHO pediatric stage 4 ; Hx of TB
Case 2: #136 : 13yo girl presents with chief compaint of recurrent and persistent ear discharge from both ears x several mos
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Presenters: John Bartlett, MD, Chris Hoffman, MD, Robert Bollinger, MD Johns Hopkins University; Dawd Siraj, MD, East Carolina University; Zelalem Temesgen, MD, Mayo Clinic; Wondwossen Amogne, MD, Addis Ababa University
Air Date: September 5, 2008
Length: 1 Hour
Case 1: #133: 27yo male w/LUQ swelling, fever, weight loss 9mos back & started HAART x8mos; hx of travel to leishmania endemic areas
Case 2: #134: 51yo male on HAART x4yrs presents w/nodular non-pruritic skin lesions x1yr, marked facial lipoatraphy and weight loss
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Presenters: Chris Hoffman, MD Johns Hopkins University; Wondwossen Amogne, MD, Addis Ababa University; Dawd Siraj, MD East Carolina University
Air Date: August 22, 2008
Length: 1 Hour 6 Minutes
Case 1: #132 28yo female diagnosed w/HIV 2mos prior; HAART after 2wks anti-TB; presents w/radicular pain from lower back to RT lower leg and acute urinary retention
Case 2: #131 25yo female w/SOB, high intermittent fever, cough, night sweats and loss of appetite; CXR show left pleural thickening and cardiomegally
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Presenters: Andrea Ruff, MD, Nancy Hutton, MD Johns Hopkins University; Gebretensay G, MD, Berhanu Gudetta, MD, MPH, Addis Ababa University
Air Date: August 15, 2008
Length: 1 Hour 21 Minutes
Case 1: #131: 14 yo female w/complaints of numbness of the tongue and difficulty of speech x 2 mos.
Case 2: #132: 18 mo female referred from a private hospital for recurrent attacks of watery diarrhea, weight loss and failure to grow since the age of 1 year
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Presenters: John Bartlett, MD, Johns Hopkins University; Dawd Siraj, MD, East Carolina University; Wondwossen Amogne, MD, Addis Ababa University
Air Date: July 25, 2008
Length: 1 hour 30 Minutes
Case 1: #129: 41 yo male started on HAART 7yrs ago after L-sided hemiparesis; restarted 3yrs agao after 2 yr discont; presents w/ groin pain & difficulty ambulating
Case 2: #130: 40yo female develops hepatosplenomegaly &liver toxicity after 1mo anti-TB therapy
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Presenters: Andrea Ruff, MD, George Siberry, MD, Nancy Hutton, MD Johns Hopkins University; Berhanu Gudetta, MD, and Solome Jabessa, MD, Addis Ababa University
Air Date: June 20, 2008
Length: 1 Hour 6 Minutes
Case 1: #127 5yo male w/pediatric AIDS presents w/worsening jaundice, respiratory distress, face/leg edema and anemia 1 mo post ART initiation
Case 2: #128 8yo male on ART (AZT/3TC/EFV) develops severe anemia after 18wks; AZT switched to D4T; now presenting w/facial lipoatrophy 92wks post switch
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Presenters: John Bartlett, MD, Johns Hopkins University; Zelalem Temesgen, MD, Mayo Clinic; Wondwossen Amogne, MD, Addis Ababa University
Air Date: June 13, 2008
Length: 1 hour 7 Minutes
Case 1: #125: 40yo male on HAART x 5yrs w/ART resistance; lipoatrophy over face and extremities; currently on IDV/LPV/r
Case 2: #126: 24yo female w/known HIV x6yrs started on Co-trimoxazole and HAART regimen (d4T/3TC/EFV); presents w/worsening cough, mood swings, nightmares, night sweats, and fever
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Presenters: John Bartlett, MD, Johns Hopkins University; Zuber Sherefa, MD, and Gashahun Seyoum, MD, Addis Ababa University
Air Date: May 16, 2008
Length: 1 Hour 6 Minutes
Case 1: #123 26yo female on ART x2yrs develops pulmonary TB; during last month of TB tx, presents w/ high fever, marked loss of appetite, and abdominal swelling x1wk.
Case 2: #124 39yo HIV+ on ART x4yrs incl D4T presents w/pain and numbness in lower limbs, bilateral leg weakness, mid back pain and difficulty abulating
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Presenters: John Bartlett, MD, Johns Hopkins University; Dawd Siraj, MD, East Carolina University; Berhanu Gudetta, MD MPH, Addis Ababa University
Air Date: May 2, 2008
Length: 1 hour 28 Minutes
Case 1: #121: 28yo female, new diagnosis of MDR TB, develops severe CNS and GI side effects, weight loss after 4mos tx; adherence problems persist and pt becomes pregnant
Case 2: #122: 20yo male develops severe CNS side effects to MDR TB treatment
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Presenters: Nancy Hutton, MD & Mary Joyner, CPNP, MSN Johns Hopkins University; Sofia Mengistu, MD, Addis Ababa University
Air Date: April 18, 2008
Length: 1 Hour 23 Minutes
Case 1: #120 13yo w/stundted growth & PMH of hypersplenism & recent HIV seroconversion; presents w/splenomegaly, ascites, pancytopenia, bleeding varices & poor response to HAART
Case 2: #119 5yo w/suspected HIV but mom refuses HIV testing
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Presenters: George Siberry, MD and Andrea Ruff, MD, Johns Hopkins University; Berhanu Gudetta, MD MPH, Addis Ababa University
Air Date: February 29, 2008
Length: 1 hour 34 Minutes
Case 1: #116: 9yo female presents w/profound thrombocytopenia & HIV+ serology
Case 2: #117: 15yo HIV+ male w/hx recurrent pneumonia presents w/chronic cough, lung infiltrates & superficial fungal infections
Case 3: #118: 11yo male on ART x2.5mos develops pleural and pericardial effusions
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Presenters: John Bartlett Johns Hopkins University; Dawd Siraj, MD, East Carolina University; Wondwossen Amogne, MD, Addis Ababa University
Air Date: February 8, 2008
Length: 1 Hour 36 Minutes
Case 1: #114 69 yo male dx'd w/HIV 12yrs ago; started/stopped ART several times; CD4 now < 200
Case 2: #115 45 yo male who was on CBV/EFV and then he requested to be switched to Atripla
Discussion: Highlights from CROI 2008 meeting
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Presenters: John Bartlett, Johns Hopkins University; Dawd Siraj, MD, East Carolina University; Zelalem Temesgen, MD, Mayo Clinic; Wondwossen Amogne, MD, Addis Ababa University
Air Date: December 21, 2007
Length: 1 hour 26 Minutes
Case 1: #113: 40yo HIV+ female w/persistent elevated LFTs
Case 2: #112: 45yo male w/HIV/HBV coinfection presents w/icterus, CD4=415 & elevated LFTs
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Presenters: Drs. Nancy Hutton, Andrea Ruff, George Siberry & John Bartlett Johns Hopkins University; Solomie Jebessa, MD & Berhanu Gudetts, MD MPH, Addis Ababa University
Air Date: December 7, 2007
Length: 1 Hour 35 Minutes
Discussion: Follow-up from last session: 3TC Properties
Case 1: #110 7yo boy w/deceasing CD4 & increasing viral load & chronic cough; no evidence of TB; Hx of seizure
Case 2: #111 12 1/2yo boy HIV x3yrs w/progressive neurologic symptoms and blurring vision; Hx of seizure
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Presenters: John Bartlett, Johns Hopkins University; Dawd Siraj, MD, East Carolina University; Zuer Sherefa, MD & Anteneh Andualem, MD, Addis Ababa University
Air Date: November 30, 2007
Length: 1 hour 26 Minutes
Case 1: #108: 50yo w/HIV w/persistent neuropathic symptoms despite TX switch; dev TB on HAART (CD4=147 + viral load <50); therapeutic failure? <br/>Case Case 2: #109: 40yo dev pulmonary TB + peripheral neuropathy; problem w/d4T in combo w/antiTB TX??
Discussion: Switch and Second Line ART Regimens in Ethiopia: 2007 Guidelines
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Presenters: John Bartlett, MD Johns Hopkins University; Zelalem Temesgen, MD and James Bower, MD, Mayo Clinic; Wondwossen Amogne, MD, Addis Ababa University
Air Date: November 9, 2007
Length: 1 Hour 35 Minutes
Case 1: #105 35yo male was being tx'd for pul TB, then started on HAART; develops left-sided weakness, headaches at 8 wks
Case 2: #106 26yo female who started HAART 2wks PTA presents w/fever & cough, which progresses to seizure, loc, coma and anasarea
Case 3: #107 44yo female w/untreated HIV presents w/pronouced peri-cervical lymphadenopathy & fluctuant, subcutaneous swelling of the shoulders bilaterally
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Presenters: Nancy Hutton, MD, and John Bartlett, Johns Hopkins University; Wondwossen Amogne, MD, Addis Ababa University
Air Date: September 21, 2007
Length: 72 Minutes
Case 1: #103: 18yo girl w/cough, intermittent fever, RUQ pain and lower leg edema; PMH of H. zoster and smear-vePTB
Case 2: #104: 28yo woman w/sudden onset aphasia and left-sided body weakness x4days preceded by sever headache
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Presenters: John Bartlett, Johns Hopkins University; Dawd Siraj, MD, East Carolina University; Zelalem Temesgen, MD, Mayo Clinic; Zuber Sherefa, MD, Addis Ababa University
Air Date: August 31, 2007
Length: 1 Hour 26 Minutes
Case 1: #101 18yo female developed pulmonary symptoms & purulent lymph drainage. AFB+, MDR-TB
Case 2: #102 22yo lab tech, w/pulmonary sx, AFB+; recurrence following tx; ?primary infection w/MDR-TB
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Presenters: Andrea Ruff, MD, George Siberry, MD, Nancy Hutton, MD, and John Bartlett, Johns Hopkins University
Air Date: July 20, 2007
Length: 56 Minutes
Case 1: #99: 6yo HIV+ w/oral lesions, fever, chronic diarrhea x1mos; pruritic skin, scaly scalp lesions x4mos
Case 2: #100: 5yo on ART & PCP prophylaxis; anti-TB 10mos prior; presents SOB, cough, & body swelling
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Presenters: John Bartlett, Johns Hopkins University; Dawd Siraj, MD, East Carolina University
Air Date: July 6, 2007
Length: 1 Hour 26 Minutes
Case 1: #97 36yo male on ART since 2004; dev sever lower limb myopathy on comb NRTis & PIs; ART switched w/marked improvement
Case 2: #98 33yo female dev Stevens-Johnson Syndrome on Combivir/NVP; tx switched to CBV/lopinavir; reactivation of SJS post 1wk
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Presenters: John Bartlett, MD, Johns Hopkins University
Air Date: June 29, 2007
Length: 1 Hour 9 Minutes
Case 1: #95: 33yo HIV+ mother present w/progress SOB on exertion, lethargy & postural dizziness x4wks
Case 2: #96: 45yo HIV+ male on HARRT x2mos presents with interittent fever, weight loss & weakness x2mos, dysuria + hematuria x1wk
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Presenters: Andrea Ruff, MD, George Siberry, MD, and John Bartlett, Johns Hopkins University
Air Date: June 15, 2007
Length: 1 Hour 26 Minutes
Case 1: #88 101/2yo girl w/oral lesions, hx of significant wght loss & chronic fatigue; PMH disseminated TB + mucocutaneous lieshemaniasis
Case 2: #94 12yo HIV+ boy w/jaundice on ART
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Presenters: Dawd Siraj, MD, East Carolina University; Zelalem Temesgen, MD, Mayo Clinic
Air Date: June 8, 2007
Length: 1 Hour 9 Minutes
Case 1: #91: 42yo male w/HIV x3yrs presents w/fever, nocturnal sweating, arthralgia, dry cough + decr apetite
Case 2: #92: 35yo female w/HIV x2yrs presents w/weakness, somnolence, and progressive weakness of rt upper limb
Case 3: #93: 35yo female HIV+ x7yrs taking CBV/EFV x3yrs has LUQ pain x2mos
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Presenters: George Siberry, MD, Nancy Hutton, MD, and Andrea Ruff, MD Johns Hopkins University; Dawd S. Siraj, MD, MPH, East Carolina University
Air Date: May 18, 2007
Length: 1 Hour 44 Minutes
Case 1: #87 3yo girl w/dramatic weight loss and hemalytic anemia on ART
Case 2: #89 44yo 2 1/2yo HIV+ girl w/cough, fever, swelling and cardio respiratory distress
Case 3: #90 40yo HIV+ male w/>6 mos diarrhea and occasional vomiting
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Presenters: Chris Hoffman, MD, Johns Hopkins University; Zelalem Temesgen, MD, Mayo Clinic
Air Date: May 4, 2007
Length: 1 Hour 9 Minutes
Case 1: #84: 35yo HIV+ male w/nausea, fatigue and intermittent fever
Case 2: #85: 40yo male w/ weakness, hand numbness, mid back pain, and erectile dysfunction
Case 3: #86: 35 HIV+ malew/global headache, intermittent fever, left sided body weakness and ptosis of rt eye
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Presenters: Chris Hoffman, MD, Johns Hopkins University; Zelalem Temesgen, MD, Mayo Clinic
Air Date: April 13, 2007
Length: 1 Hour 2 Minutes
Case 1: 38yo w/altered sensorium; CNS toxo vs TB
Case 2: 44yo 40yo HIV+ w/bleeding gums, nostrils and ecchymotic lesions
Case 3: 50yo w/acute confusional state x3d; tonic clonic SZ 1x
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Presenters: Nancy Hutton, MD, Johns Hopkins University
Air Date: March 30, 2007
Length: 49 Minutes
Case 1: Follow up pediatrics case 9 yo female with HIV and recurrent TB infection. Presented with new nodular skin lesions on deltoid, face and thigh
Case 2: 12 month old female with congenital HIV infection despite maternal and infant NVP
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Presenters: John Bartlett, MD and Chris Hoffman, MD, Johns Hopkins University; Dawd S. Siraj, MD, MPH, East Carolina University
Air Date: March 16, 2007
Length: 1 Hour 2 Minutes
Case 1: #74: 50yo w/non pleuritic sharp chest pain interscapular region 3mos post HAART initiation
Case 2: #75: 32yo 40yo w/generalized weakness, numbness hands & mid back pain x2mos; HIV-; increased LFTs
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Presenters: John Bartlett, MD, George Siberry, MD, and Andrea Ruff, MD, Johns Hopkins University; Dawd S. Siraj, MD, MPH, East Carolina University
Air Date: February 16, 2007
Length: 1 Hour 21 Minutes
Case 1: #72: 5yo w/TB exposure presents w/cough, night sweats, well-immunized
Case 2 #73: 9yo w/prior TB tx, presents w/recurrent pneumonia and hx of repeated tonsilopharyngitis
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Presenters: Dawd S. Siraj, MD, MPH, East Carolina University; Zelalem Temesgen, MD, Mayo Clinic
Air Date: February 2, 2007
Length: 1 Hour 8 Minutes
Case 1: #69: 46yo w/cercival lymphadenopathies, fever, night sweats, productive cough and shortness of breath
Case 2: #70: 32yo persitant diarrhea, cryptosporidiosis+, pancytopenic
Case 3: #71: 29yo poor appetite, nausea, vomiting, diffuse addominal pain following good response to MAC tx
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Presenters: John Bartlett, MD, Johns Hopkins; Dawd S. Siraj, MD, MPH, East Carolina University; Zelalem Temesgen, MD, Mayo Clinic
Air Date: January 26, 2007
Length: 1 Hour 33 Minutes
Case 1: #66: 30yo w/lactic acidosis after 13mos HAART
Case 2 #67: 36yo w/weakness of the RUL and paradoxical viral load and CD4 counts on HAART
Case 3 #68: 48yo w/flank pain x2mos and fever
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Presenters: George Siberry, MD and Nancy Hutton, MD at Johns Hopkins
Air Date: January 5, 2007
Length: 1 Hour 30 Minutes
Case 1: #63: 21mo w/anemia and elevated LFT on ART
Case 2: #64: 12yo w/multiple hepatic cysts
Case 3: #65: 4yo w/edema, proteinuria, hematuria
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Presenters: Zelalem Temesgen, MD, Mayo Clinic
Air Date: December 29, 2006
Length: 1 Hour 26 Minutes
Case 1: #60: 38yo w/tachycardia, left sided hemiparesis; HAART failure & ?TB reinfection
Case 2 #62: 31yo w/abdominal destension and renal failure on HAART
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Presenters: George Siberry, MD, Chris Hoffmann, MD, Paul Converse, MD and John Bartlett, MD, Johns Hopkins; Dawd S. Siraj, MD, MPH, East Carolina University;
Air Date: December 15, 2006
Length: 1 Hour 18 Minutes
Case 1: #58: f/u 11yo w/chronic menigitis; abcess R. temporal lobe, ? pyogenic
Case 2: #59: 27yo w/abdominal pain and vomiting after HAART initiation
Case 3: #61: 45yo w/intracranial lesions
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Presenters: John Bartlett, MD, George Siberry, MD, Nancy Hutton, MD Johns Hopkins; Dawd S. Siraj, MD, MPH, East Carolina University
Air Date: November 17, 2006
Length: 37 Minutes
Case 2: #58: 11yo w/TB & HIV coinfection. Vesicular Skin lesion on the trunk. Severe headache, seizure. India Ink +Cryptococcus, and CSF +Klebsiella Oxytoca
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Presenters: John Bartlett, MD, Johns Hopkins; Dawd S. Siraj, MD, MPH, East Carolina University; Zelalem Temesgen, MD, Mayo Clinic
Air Date: November 3, 2006
Length: 1 Hour 9 Minutes
Case 1: #55: 32yo male w/upper lobe cavity on failing 4th line HAART
Case 2: #56: 39yo female w/untreated HIV; progressive weakness of bilat lower extremities
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Presenters: Joseph Cofrancesco, MD, Johns Hopkins University; Zelalem Temesgen, MD, Mayo Clinic
Air Date: October 20, 2006
Length: 1 Hour 20 Minutes
Case 1: #52: Adult w/pancytopenia on HAART
Case 2: #53: Adult w/ diabetes w/HAART
Case 3: #54: Adult seeking post sexual exp prophylaxis
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Presenters: John Bartlett, MD, George Siberry, MD, Nancy Hutton, MD Johns Hopkins; Dawd S. Siraj, MD, MPH, East Carolina University
Air Date: October 6, 2006
Length: 1 Hour 24 Minutes
Case 1: #49: Pediatric - chronic URI; disseminated Kaposi's Sarcoma?
Case 2: #50: Pediatric 10yo boy w/pneumonia, CNS complications on HAART
Case 3: #51: Adult female w/oral thrush following 33 months of HAART
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Presenters: John Bartlett, MD, Johns Hopkins University; Dawd S. Siraj, MD, MPH, East Carolina University; Zelalem Temesgen, MD, Mayo Clinic
Air Date: September 22, 2006
Length: 1 Hour 19 Minutes
Case 1: #47: Adult w/evidence of CNS toxo lesions
Case 2: #48: Adult w/ CNS lesions and bizarre behavior
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Presenters: Meg Doherty, MD, PhD, MPH, Johns Hopkins; Dawd S. Siraj, MD, MPH, East Carolina University; Zelalem Temesgen, MD, Mayo Clinic
Air Date: September 1, 2006
Length: 1 Hour 18 Minutes
Case 1: #45: 26 y.o. female w/ pulmonary KS
Case 2: #41: 42 y.o. female w/primary HIV associated thrombocytopenia
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Presenters: Dawd S. Siraj, MD, MPH, East Carolina University; Zelalem Temesgen, MD, Mayo Clinic
Air Date: August 25, 2006
Length: 1 Hour 14 Minutes
Case 1: #43: Adult w/HIV, TB reactivation; hepatotoxicity and hyponatremia
Case 2: #44: Adult - HIV; neural deafness
Case 3: #45: Adult w/pancytopenia, eventual death
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Presenters: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases; Dawd S. Siraj, MD, MPH, East Carolina University; Asresahgne Getachew, Ethiopian North American Health Professional Association (ENAHPA)
Air Date: August 4, 2006
Length: 1 Hour 18 Minutes
Case 1: #40: Adult w/ UGI symptoms, seizures, death
Case 2: #41: Adult - possible CNS MDRTB; hydrocephalus
Case 2: #42: Adult w/ ? pyogenic brain abcess
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Presenters: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases; Dawd S. Siraj, MD, MPH, East Carolina University
Air Date: July 21, 2006
Length: 1 Hour 15 Minutes
Case 1: #37: Adult - multiple disseminated lesions, origin unknown
Case 2: #38: Adult - liver NHL, treated w/CHOP, CNS toxo?
Case 3: #39: Adult w/ smear + TB, pericarditis
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Presenters: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases; George Siberry, MD, Johns Hopkins, Dept. of Pediatrics; Andrea Ruff, MD, Johns Hopkins, Intl Health - Div of Disease Cntl
Air Date: July 7, 2006
Length: 1 Hour 16 Minutes
Case 1: #3: Pediatric - child w/h/o sdNVP and rash
Case 2: #35: Adult w/multiple CNS lesions
Case 2: #36: Adult - sudden onset vision loss
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Presenters: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases; Dawd S. Siraj, MD, MPH, East Carolina University, Dr. Asresahgne Getachew, Ethiopian North American Health Professional Association (ENAHPA)
Air Date: June 30, 2006
Length: 1 Hour 33 Minutes
Case 1: #32: Adult w/possible resistance after sdNVP for PMTCT
Case 2: #33: Adult w/TB pericarditis, pulm HTN, death
Case 2: #34: Adult w/neck mass, possible TB & MDR-TB
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Presenters: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases; Dawd S. Siraj, MD, MPH, East Carolina University
Air Date: June 9, 2006
Length: 1 Hour 10 Minutes
Case 1: #30: Adult - strongyloides, chronic diarrhea, death
Case 2: #31: Adult - CNS lesions, seizures, probable toxo
Case 3: #26: Adult w/ NHL
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Presenters: Dawd S. Siraj, MD, MPH, East Carolina University, Dr. Asresahgne Getachew, Ethiopian North American Health Professional Association (ENAHPA)
Air Date: May 26, 2006
Length: 1 Hour 7 Minutes
Case 1: Adult with CNS lesion - Toxo vs CNS Lymphoma
Case 2: Adult with CNS lesions, cerebral edema, progression post treatment Toxo - possible CNS lymphoma
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Presenters: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases; Jean Anderson, MD, Johns Hopkins, Dept. of GYN/OB, Dawd S. Siraj, MD, MPH, East Carolina University
Air Date: May 12, 2006
Length: 1 Hour 12 Minutes
Case 1: Adult - 30 y/o pregnant woman, HIV+ x 5yrs, presents w/ SOB
Case 2: Discussion of prevention and care of pregnancy in the HIV+ woman
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Presenters: Dawd S. Siraj, MD, MPH, East Carolina University, Dr. Asresahgne Getachew, Ethiopian North American Health Professional Association (ENAHPA)
Air Date: April 28, 2006
Length: 1 Hour 11 Minutes
Case 1: TB pericarditis, HBV
Case 2: Lactic acidosis
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Presenter: Dawd S. Siraj, MD, MPH, East Carolina University
Air Date: April 14, 2006
Length: 1 Hour 14 Minutes
Case 1: Adult - AZT anemia, CHF in elderly patient
Case 2 : Adult - TB liver and splenic abscess; failing Rx
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Presenters: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases; Dawd S. Siraj, MD, MPH, East Carolina University
Air Date: March 31, 2006
Length: 1 Hour 5 Minutes
Case 1: Adult – possible treatment failure
Case 2: Adult – Anemia and CHF
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Presenters: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases; Dawd S. Siraj, MD, MPH, East Carolina University; George Siberry, MD, Johns Hopkins, Dept. of Pediatrics; Nancy Hutton, MD, Johns Hopkins, Dept. of Pediatrics; Andrea Ruff, MD, Johns Hopkins, Intl Health - Div of Disease Cntl; Jean Anderson, MD, Johns Hopkins, Dept. of GYN/OB
Air Date: March 17, 2006
Length: 1 Hour 30 Minutes
Case 1: Pediatric late diagnosis
Case 2: Adult – disseminated crypto, TB
Case 3: Pregnant woman – with TB, ascites
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Presenters: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases; Dawd S. Siraj, MD, MPH, East Carolina University; Nancy Hutton, MD, Johns Hopkins, Dept. of Pediatrics; Andrea Ruff, MD, Johns Hopkins, Intl Health - Div of Disease Cntl
Air Date: February 17, 2006
Length: 1 Hour 22 Minutes
Case 1: Pediatric Pulmonary case – LIP
Case 2: Adult – HBV, NVP, Hepatotoxicity
Case 3: Adult – possible GBS
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Presenters: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases; Dawd S. Siraj, MD, MPH, East Carolina University
Air Date: February 10, 2006
Length: 1 Hour 16 Minutes
Topic 1: CROI Review
Case 1: Adult – Unilateral vision loss; Zoster
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Presenters: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases; Dawd S. Siraj, MD, MPH, East Carolina University
Air Date: January 20, 2006
Length: 1 Hour 2 Minutes
Case 1: Adult – Disseminated TB; masses, ? Lymphoma
Case 2: Adult – Pulmonary effusion lymphoma, ? TB
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Presenter: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases
Air Date: January 6, 2006
Length: 1 Hour 28 Minutes
Case 1: Diarrhea & malabsorption
Case 2: Esophagitis
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Presenter: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases
Air Date: November 9, 2005
Length: 1 Hour 1 Minute
Case 1: Treatment failure
Case 2: Adherence
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Presenters: Meg Doherty, M.D., Assistant Professor, Johns Hopkins, Division of Infectious Diseases, Anita Venkataramana, MBBS, Johns Hopkins, Dept. of Neurology, Dawd S. Siraj, MD, MPH, East Carolina University, Dr. Asresahgne Getachew, Ethiopian North American Health Professional Association (ENAHPA)
Air Date: October 28, 2005
Length: 1 Hour 1 Minute
Case 1: Neurosyphilis and HIV
Case 2: TB meningitis, chronic diarrhea and HIV
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Presenter: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases, Dawd S. Siraj, MD, MPH, East Carolina University
Air Date: September 16, 2005
Length: 55 Minutes
Case 1: HIV CNS complications
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Presenters: Dr. Asresahgne Getachew, Ethiopian North American Health Professional Association (ENAHPA), Dawd S. Siraj, MD, MPH, East Carolina University
Air Date: August 12, 2005
Length: 1 Hour 2 Minutes
Case 1: Disseminated tuberculosis vs adrenal insufficiency
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Presenters: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases, Dr. Asresahgne Getachew, Ethiopian North American Health Professional Association (ENAHPA)
Air Date: July 29, 2005
Length: 1 Hour 15 Minutes
Topic: Summary of International AIDS Society Meeting, Rio de Janeiro, Brazil
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Presenter: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases
Air Date: June 17, 2005
Length: 1 Hour 22 Minutes
Case 1: Failure of HAART
Case 2: Cryptococcal meningitis, Pancytopenia, Mycobacterium avium, Tuberculosis
Case 3: PCP w/ CD4 480
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Presenters: Anita Venkataramana, MBBS, Johns Hopkins, Dept. of Neurology, Dawd S. Siraj, MD, MPH, East Carolina University, Dr. Asresahgne Getachew, Ethiopian North American Health Professional Association (ENAHPA)
Air Date: June 3, 2005
Length: 1 Hour 19 Minutes
Case 1: Toxoplasmosis
Case 2: HTLV-1 with spastic paraparesis
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Presenter: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases
Air Date : May 20, 2005
Length: 1 Hour 27 Minutes
Case 1: Lymphoma
Case 2: Tuberculosis, possible JRIS
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Presenters: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases, Dr. Asresahgne Getachew, Ethiopian North American Health Professional Association (ENAHPA)
Air Date : April 22, 2005
Length: 1 Hour 17 Minutes
Topic: "Important Questions About the Ethiopian Plans for Antiretroviral Therapy"
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Presenters: John G. Bartlett, MD, Johns Hopkins, Division of Infectious Diseases, Dr. Asresahgne Getachew, Ethiopian North American Health Professional Association (ENAHPA)
Air Date: March 11, 2005
Length: 1 Hour 7 Minutes
Topic: Review of 12th CROI with emphasis on "Family Based Approach to Preventive Care and Antiretroviral Therapy in Africa"
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