How a Man Contracted HIV on PrEP

“Because we’ve always suspected that this potentially could happen, and now we’ve shown that it can happen, people need this information to make decisions about their sexual health that feel right for them,” Dr. David Knox told me by phone yesterday. “The more information, the better. And that’s the bottom line.”

Dr. Knox was the lead author on a case last week reported at Conference on Retroviruses and Opportunistic Infections (CROI) regarding the first recorded apparently PrEP-adherent MSM (man who has sex with men) who contracted a strain of HIV that showed drug resistance. Dr. Knox, who practices at the Maple Leaf Medical Clinic in Toronto, is also the subject’s doctor. He told me that about 20 of his patients are on PrEP and there’s around 100 in total at Maple Leaf.

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