Case presentation A 38-year-old male with HIV infection underwent an evaluation for salivary gland disease at a dental clinic, which included a biopsy of a labial minor. On his previous visits to the clinic, he was found to have xerostomia and minimal-to-moderate enlargement of both parotid glands, which is a feature of HIV-associated salivary gland disease. Patient information HIV infection – CD4 cell count: 621 per cubic millimeter; viral load: 189,000 copies per milliliter The patient was intolerant to various antiretroviral medications, which made controlling the HIV infection difficult.
Had no known drug allergies and was taking hydroxychloroquine, prochlorperazine, triamterene–hydrochlorothiazide, ramipril, and gabapentin and using a fentanyl transdermal patch. The patient was a smoker, had one to two packs of cigarettes a day for 25 years, and used injection drugs 20 years…
