Question | Discussion | References | CME Credit

Updated August 24, 2006

Case 3: Appropriate Serologic Testing

Author: John V.L. Sheffield, MD

A 46-year-old man comes to clinic to establish longitudinal care for his HIV disease. He recently tested HIV-seropositive, but believes he acquired HIV years earlier from a male sex partner who subsequently developed AIDS. In addition, he injected drugs "on a few occasions" while living in Cincinnati, Ohio more than 10 years ago. Physical examination reveals seborrheic dermatitis and oral candidiasis. As part of the initial evaluation of this patient, you order a complete blood count, comprehensive chemistries (including liver enzymes), CD4 cell count, HIV viral load assay, and a PPD skin test. To assess exposure to other infectious agents, you perform additional serologic testing.

Which of the following tests is (are) appropriate to order at this initial visit?

A anti-Toxoplasma IgG
B Hepatitis A, B, and C serologies
C anti-Histoplasma IgG
D Venereal Disease Research Lab (VDRL) or Rapid Plasma Reagin (RPR)
E A, B, and D