Insight into Hungarian HIV situation 9th Advanced HIV Course, EACS , Aix en Provence Botond Lakatos, HU
epidemiology EPINFO HUN,2010; UNAIDS/WHO,2009 HIV Estimated prevalence: people (<0.1%) : 1100 person : 700 person AIDS : 573/ : 23/9 2010: 21/8 Late presenters: ~60% Female: 13% Children: 9 Regional distribution
care Single-center care About 1100 HIV infected people appeared 1000 are under frequent medical control 600 on HAART Care and drugs are provided by state ~85% of them are supressed VL 74% capable to work EPINFO HUN,2008(45), 2010(46)
National AIDS Committee AIDS Prevention Program treat Symptomatics Asymptomatics –CD4 > 350: CART tenofovir/emtricitabin, ABC/3TC, ZDV/3TC, tenofovir, ddI efavirenz, nevirapin, etravirin lopinavir, fosamprenavir, atazanavir, darunavir maraviroc raltegravir prevention/treatment
case 26 m, 2010, no attend doctor, MSM cough, haemoptoe, fever, pleurodynia CD4: 31/ μ l, c/ml CT: upper lobe cavitation BAL: encapsulated fungi elements Culture, latex: Cryptococcus neoformans (R to FLU) CSF: neg amphotericinB, itraconazol CART
Thank you and for EACS!