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Ask the Expert: Case Study -- 38-Year-Old Woman With Persistent Flu-Like Symptoms


A 38-year-old woman presents to the prison infirmary with flu-like complaints consisting of myalgias, abdominal pain, and nausea. Her medical history is significant for Class A2 HIV disease. She has had no HIV-related illnesses except for chron...

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Ask the Expert: Case Study -- End-of-Life Care for Inmate With AIDS and Widely Metastatic Lung Cancer

A 52 year-old African-American male inmate with Class B2 AIDS (CD4 cell count 421, HIV RNA 5,790) was diagnosed with widely metastatic non-small cell carcinoma of the lung. He is currently taking multivitamins, citalopram (Celexa), and doxepin. He is...

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Case Study: 36-Year-Old Male With Hepatitis C and HIV Infection

_A 36-year-old bisexual male with B3 HIV disease is expected to be incarcerated for nine months. On intake, the CD4 lymphocyte cell count is 542 cells/mm (31%), up from a nadir of 240 (17%), with an HIV bDNA 1 reported that between 6% and 19% (depen...

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Developing a Systematic Approach to Hepatitis C for Correctional Systems: Controversies and Emerging Consensus

Introduction Impact of Disease Screening Evaluation Treatment Patients With Psychiatric Illness and/or History of Substance Abuse Cost Conclusion Footnotes


As guidelines for the diagnosis, evaluation and treatment of ...

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Prevention and Control of Infections With Hepatitis Viruses in Correctional Settings

Summary Introduction Correctional Populations Health Care in the Correctional System Risk Factors for Viral Hepatitis Transmission Among Incarcerated Persons Epidemiology and Outcome of Infection With Hepatitis Viruses Preventing and Co...

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Maryland: Hepatitis Epidemic Looms in Prisons

Maryland prison and health officials say a looming hepatitis C epidemic will be a bigger and potentially more expensive health crisis than HIV/AIDS, but they still do not have a comprehensive policy in place to address it.

Officials do not have an a...

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HCV in Corrections: Frontline or Backwater?

Nationally, hepatitis C virus (HCV) outstrips HIV by about 10 to 1 in sheer numbers of inmates infected. Even so, controversy and confusion surround the management of HCV in correctional settings, while HIV testing and treatment is now relatively rou...

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Human Papillomavirus Infections in Incarcerated Women

The factors associated with the development of lower genital tract neoplasia (cancers) are directly related to lifestyle, poverty, sexual risk taking behaviors, and access to health care. Historically it has been observed that women who have multiple...

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HIV 101: Diagnosis of Neuropathy in HIV-Positive Prison Inmates

Neurologic disease is frequently associated with HIV infection. Both the central nervous system (CNS) and the peripheral nervous system (PNS) may be affected. The causes of neurological disease are various: autoimmune reactions due to immune disregul...