1. Insight into Hungarian HIV situation 9th Advanced HIV Course, EACS 09.2011, Aix en Provence Botond Lakatos, HU

2. epidemiology EPINFO HUN,2010; UNAIDS/WHO,2009 HIV Estimated prevalence: 3000-4000 people (<0.1%) 1985-2004: 1100 person 2005-2010: 700 person AIDS 1985-2008: 573/320 2009: 23/9 2010: 21/8 Late presenters: ~60% Female: 13% Children: 9 Regional distribution

3. care Single-center care About 1100 HIV infected people appeared 1000 are under frequent medical control 600 on HAART Care and drugs are provided by state ~85% of them are supressed VL 74% capable to work EPINFO HUN,2008(45), 2010(46)

4. National AIDS Committee 2004- 2010 AIDS Prevention Program 2003-13 treat Symptomatics Asymptomatics –CD4 > 350: CART tenofovir/emtricitabin, ABC/3TC, ZDV/3TC, tenofovir, ddI efavirenz, nevirapin, etravirin lopinavir, fosamprenavir, atazanavir, darunavir maraviroc raltegravir prevention/treatment

5. case 26 m, 2010, no attend doctor, MSM cough, haemoptoe, fever, pleurodynia CD4: 31/ μ l, 441.000c/ml CT: upper lobe cavitation BAL: encapsulated fungi elements Culture, latex: Cryptococcus neoformans (R to FLU) CSF: neg amphotericinB, itraconazol CART

6. Thank you and for EACS!