Viremic – Cases in HIV

Viremic – Cases in HIV

Dr. Eileen Scully & Dr. Christopher Hoffmann

Episodes 25
Avg. Duration 33m
Activity Highly Active
Apple Rating 5.0 (10)
Since Jul 2025
Latest Episode Jun 2026

Publishing Details

Schedule
Every 2 Weeks
Format
Episodic
Consistency
100%
Hosting
feeds.transistor.fm

Contact & Outreach

About This Podcast

Hosted by Eileen Scully, MD, PhD, and Christopher Hoffmann, MD, MSC, MPH, both HIV specialists at Johns Hopkins, Viremic explores quandaries in adult HIV care. Each case discussion includes medical history and diagnoses, challenges in care and treatment, and key evidence and guidelines that informed clinical decision making. Cases are presented as a composite from the hosts’ clinical practice, with all identifying details removed to protect the privacy of patients. Case discussions are for informational purposes only and not offered as medical or clinical practice advice for patients or clinicians. Any mention of specific medications or commercially available products is a description of use only, not an endorsement. Viremic is produced by the Clinical Guidelines Program, a collaborative effort of the New York State Department of Health AIDS Institute and the Johns Hopkins University Division of Infectious Diseases. Do you have comments or suggestions for future case topics? Email us at [email protected]. Please note that we cannot reply to questions about specific cases or medical conditions.

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Recent Episodes

Case 24. A Violaceous Situation: Kaposi Sarcoma

Jun 09, 2026 31m Transcript

A 42-yr-old man with AIDS presents feeling unwell, with white spots in his mouth, and scattered violaceous macules on his upper extremities; he has never taken ART. Listen as hosts Eileen Scully and…

Case 23. Managing Directly (Inter)Acting Medications

May 26, 2026 36m Transcript

Chris presents a 62-yr-old man with HIV for >30 yrs, with viral suppression and many drug resistance mutations, whose ART must be changed due to a drug-drug interaction, but also for…

Case 22. Sex with Drugs: Talking About Chemsex and Harm Reduction

May 12, 2026 31m Transcript

With guest Dr. Jeremy Kidd, Chris reviews the case of a 27-yr-old man with HIV who reports using methamphetamine to enhance sex and has unsuppressed HIV. Is this chemsex? Is the unsuppressed viral…

Case 21. If You’ve Seen One, You Haven’t Seen Them All: Elite Controllers

Apr 28, 2026 26m Transcript

Eileen welcomes Dr. Joel Blankson to review the case of 28-year-old man who is an elite controller. They discuss elite control characteristics, monitoring, and treatment, while also touching upon…

Case 20. New Options for Treating Pharyngeal Gonorrhea

Apr 14, 2026 36m Transcript

How to treat pharyngeal gonorrhea in a 32-year-old gay man with HIV who has a documented cephalosporin allergy? Chris presents this case to guest Dr. Marguerite (Margie) Urban, director of the NYSDOH…

Case 19. Similar, but Not the Same: HIV-2 Diagnosis and Treatment

Mar 31, 2026 27m Transcript

Eileen presents the case of a 32-yr-old woman newly diagnosed with HIV-2 and invites guest Dr. Sanjiv Shah to discuss HIV-2 epidemiology, diagnosis, treatment, and monitoring. Listen as they explore…

Case 18. What’s New from CROI 2026 with Dr. Paul Sax

Mar 17, 2026 43m Transcript

Dr. Paul Sax, author of an annual “Really Rapid Review of the Conference on Retroviruses and Opportunistic Infections (CROI),” joins host Eileen Scully to review CROI 2026 abstracts of particular…

Case 17. Trans Lives Matter: Affirmative HIV Care

Mar 03, 2026 30m Transcript

With guest Dr. Asa Radix, Chris reviews the case of a 32-year-old transgender woman who was diagnosed with HIV testing while receiving gender-affirming care. With a viral load of 82,000 and CD4 count…

Case 16. Mpox After the Outbreak

Feb 17, 2026 31m Transcript

A 33-year-old man with HIV presents with a flu-like syndrome and a disseminated vesicular rash after sexual contact with a new partner. Differential diagnosis includes mpox, syphilis, other STIs, HSV…

Case 15. A Pain in the Butt: Anal Cancer Screening and Prevention

Feb 03, 2026 36m Transcript

Chris presents the case of a 42-yr-old gay man at high risk of anal cancer to guest Dr. Bruce Hirsch, and they work through the best course for screening and prevention of a disease with high rates…

Case 14. “AIDS Is Not My Worst Problem”: Caring for Women with HIV

Jan 20, 2026 38m Transcript

The case of a 28-year-old diagnosed with HIV when she became pregnant prompts Eileen and guest Dr. Jean Anderson to explore many of the challenges of HIV care in pregnancy: managing a new diagnosis,…

Case 13. Got PrEP? HIV Adjacent Care

Jan 06, 2026 31m Transcript

Like many in HIV, Chris is also a PrEP provider. In this episode, he presents a case to Dr. Rona Vail to work through the best approach to PrEP for a young, gay Black man. They work through the…

Holiday Greetings

Dec 23, 2025 0m Bonus Transcript

Hello Viremic listeners. We are taking a break this week and encourage you to take a look back at our past episodes and catch up on any cases you may have missed. We'll be back on January 6, 2026…

Case 12. Injectable ART Failure: Minor Risk of a Major Event

Dec 09, 2025 29m Transcript

After 3 years on injectable CAB/RPV, a patient develops viremia, with a viral load of ~1,300 copies/mL. Failure of injectable CAB/RPV occurs in 1% to 2%, despite adherence. What factors have been…

Case 11. Unfolding Stories to Untangle Syphilis Testing

Nov 25, 2025 37m Transcript

A 32-year-old man with well-controlled HIV, seen after a recent relationship split and sexual activity with new partners, is screened and diagnosed with syphilis. Eileen discusses this case with…

Case 10. A Growing Problem: ART-Associated Weight Gain

Nov 11, 2025 30m Transcript

A 54-year-old woman with longstanding HIV and obesity is stable on ART, but concerned that it is causing weight gain. How best to address this growing concern? Listen as Chris and Eileen decipher the…

Case 9. A New TRIO to Reduce ART Complexity

Oct 28, 2025 26m Transcript

A 62-year-old patient with HIV for ~40 yrs presents on the life-saving TRIO regimen after a beloved care provider retires. Will a switch improve his quality of life? Eileen and Chris suspect that a…

Case 8. Charting a Path Forward

Oct 14, 2025 29m Transcript

Subspecialists request simplified ART for a 56-year-old woman with a long ART history, who is taking a DOAC, has evolving renal function, and some drug resistance. Which factors to prioritize? Eileen…

Case 7. Newer Kids on the Block: Novel ARVs for Multidrug Resistance

Sep 30, 2025 31m Transcript

How to formulate an effective ART regimen acceptable to 56-year-old man, with unsuppressed HIV, 20+ yr. ART history, extensive drug resistance, and adherence challenges? Listen as Eileen and Chris…

Case 6. Is More Really More? Optimizing Options for a Healthy Patient

Sep 16, 2025 34m Transcript

Healthy 48-year-old man with HIV for 15 years, stable viral suppression, looking to optimize health—diet, exercise, immune-boosting supplements, safest HIV and HTN meds. Listen as Chris and Eileen…

Frequently Asked Questions

How many episodes does Viremic – Cases in HIV have?

Viremic – Cases in HIV has published 25 episodes since July 2025, covering topics in Health & Fitness, Medicine.

Is Viremic – Cases in HIV still active?

Viremic – Cases in HIV is currently highly active with new episodes every 2 weeks. Average episode length is 33m.

How do I contact Viremic – Cases in HIV for sponsorship or guest appearances?

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