A 33-Year-Old Man Comes to the Office for HIV Testing

A 33-year-old man comes to the office for HIV testing after his partner was found to be HIV positive.  The patient is asymptomatic and has no history of sexually transmitted infections.  He has never had a previous HIV test.  The patient has had several male and female partners in his lifetime and uses condoms inconsistently.  He does not use tobacco, alcohol, or illicit drugs.  Vital signs are within normal limits and physical examination is normal.  A fourth-generation HIV test is positive, and subsequent laboratory results are as follows: Complete blood count and liver aminotransferase levels are normal.  Chest x-ray is unremarkable.  In addition to starting antiretroviral therapy, which of the following interventions is most appropriate for this patient?

A) Annual chest x-ray monitoring
B) Interferon-gamma release assay
C) Repeat tuberculosis testing after antiretroviral therapy initiation
D) Spiral CT scan of the chest
E) Treatment for active tuberculosis
F) Treatment for latent tuberculosis

Correct Answer:

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