What would you recommend

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Problem

Hal is a 57-year-old cisgender man with HIV who presents to the clinic for a routine healthcare maintenance exam. His last CD4 count was 630 cells/ml and his last HIV viral load was undetectable 10 months ago. He has no known drug allergies. He feels well and has no complaints. He has been sexually active with 3 male partners over the past year and reports inconsistent condom use. Syphilis screening is notable for a positive Treponemal IgG and a rapid plasma reagin (RPR) of 1:64. Upon review, a Treponemal IgG was negative at a prior visit 10 months ago. Physical exam is unremarkable, and there is no evidence of genital lesions or rash. What would you recommend?

Reference no: EM133749504

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