case reports and systemic reviews. Importantly, we observed differences in gender between the STC and CAS categories. However, this may be due to the small number of patients in each category. It will be instructive to determine and characterize any sexual dimorphic inferences from a larger patient population who presented with COVID-19 and were later diagnosed with stroke.
pathogenesis of stroke is that a patient has Covid-19 and then stroke and that hypertension was the most common comorbidity. This data will be helpful in further molecular studies to develop a model of COVID-19-induced stroke. It will be instructive to determine and characterize any sexual dimorphic inferences from a larger patient population who presented with COVID-19 and were later diagnosed with stroke.
Discussion: We defined that the most common
DEVELOPMENT AND IMPLEMENTATION OF A RAPID PREP INITIATIVE AT A SEXUAL HEALTH CENTER IN NEW ORLEANS, LOUISIANA Rose Luder; LSUHSC School of Medicine, New Orleans, LA.
Introduction: Sexual health centers are often considered to be the appropriate place to initiate Pre-Exposure Prophylaxis (PreP) counseling and increase PrEP awareness. However, previous studies report that among those referred for PrEP, the proportion that attend an intake PrEP appointment varies widely. In many cases, the majority of those referred did not ultimately receive a prescription. Same-day or “Rapid PrEP” (RP) initiation can play a key role in facilitating access to PrEP by consolidating initial PrEP evaluation and initiation to the same day patients present for other services. If evaluation and labs indicate that PrEP is safe and appropriate, patients may take their first dose on the same day as their initial clinic visit. Implementing protocols for same-day PrEP prescribing has been identified by the CDC and others as a key avenue for increasing PrEP uptake. Same-day PrEP initiation protocols have been successfully implemented in clinics in Denver, CO, St. Louis, MO, Chicago, IL, Jackson, MI, and New York, NY. While existing RP programs demonstrate that RP is a highly safe and sustainable way to prescribe
PrEP, challenges remain to improve retention to follow-up appointments after RP initiation.
Discussion: Crucially, no studies to date have systematically asked PrEP candidates how best to adapt a same-day PrEP service to meet their needs. Through focus groups discussions (FGDs) with SHC clients, this study gathered client feedback, concerns, and suggestions on the plan to implement a Rapid PrEP Initiative (RPI) at the Louisiana State University-Crescent Care Sexual Health Center (SHC) in New Orleans, Louisiana, an epicenter of HIV in the South. The SHC sees over 3,000 clients for STI screening per year and is situated in an urban area with some of the highest rates of people living with HIV, accounting for over 4% in some zip codes, in Louisiana, which consistently ranks among states with the highest HIV and STI rates. The objective of this study was to determine client-directed priorities for adapting the plan to adapt the RPI to the local setting based on qualitative analysis of focus group discussions with a range of candidates for PrEP.
PULMONARY SEPTIC EMBOLI AND HEPATIC COLLECTIONS IN SETTING OF STREPTOCOCCUS ANGINOSUS FACIAL ABSCESSES Yichi Zhang, Elizabeth Holland; Tulane University School of Medicine, New Orleans, LA.
Introduction: VEXAS syndrome (vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic) is an autoimmune disease caused by mutations in UBA1, which encodes for a ubiquitin enzyme in hematopoietic cells. VEXAS is extremely rare, and the first known cases were described in 2020.
history of known VEXAS on low-dose prednisone taper, recurrent Clostridium Difficile colitis status post fecal transplant, gram-negative bacteremia with UTI, community-acquired pneumonia, and splenectomy after motor vehicle trauma presents with fever and generalized malaise and fatigue of 2-day duration. He also reports associated mild neck stiffness, and headache but denies significant shortness of breath, 43
Case: 80-year-old gentleman with a past medical
Made with FlippingBook Digital Publishing Software