A Rare Cause of Respiratory Insufficiency in a 30-Year-Old Transgender Woman.

Chest

Department of Anesthesia and Intensive Care, University-Hospital of Udine, Udine, Italy; Department of Medicine, Anesthesia and Intensive Care Clinic, University of Udine, Udine, Italy.

Published: October 2021

A 30-year-old transgender woman who was HIV positive presented to the ED with progressive severe dyspnea and hemoptysis that started 1 day earlier. The patient was undergoing antiretroviral therapy with emtricitabine-rilpivirine-tenofovir with good compliance and feminizing hormone therapy with cyproterone acetate. She was otherwise healthy and was not taking any other medications.

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http://dx.doi.org/10.1016/j.chest.2021.05.054DOI Listing

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Article Synopsis
  • A 30-year-old trans woman sought sexual health services and was diagnosed with both HIV and syphilis, leading to her treatment with antiretrovirals and benzathine penicillin G.
  • She tested positive for tuberculosis (TB), requiring a switch in her HIV treatment due to a drug interaction with her TB medication.
  • The case emphasizes the need for integrated care for transgender patients, highlighting the importance of managing multiple health conditions and hormone therapies within a single healthcare team.
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