Rephonic
Artwork for Viremic – Cases in HIV
HIV
Antiretroviral Therapy
Mpox
Biktarvy
Viral Suppression
HIV/AIDS
Medical Adherence
Resistance Mutations
Weight Gain
Elite Controllers
Cabotegravir
Cryptococcal Meningitis
Substance Use Disorder
Statins
Hiv-Associated Nephropathy
Anti-Retroviral Therapy
Immune Reconstitution Inflammatory Syndrome
Drug Resistance
Clinical Guidelines
Hiv-2

Hosted by Eileen Scully, MD, PhD, and Christopher Hoffmann, MD, MSC, MPH, both HIV specialists at Johns Hopkins, Viremic explores quandaries in adult HIV care. Each case discussion includes medical history and diagnoses, challenges in care and treatment, and key evidence and guidelines that informed clinical decision making. Cases are presented as a composite from the hosts’ clinical practice, wit... more

PublishesTwice monthlyEpisodes30Foundeda year ago
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MedicineHealth & FitnessScience

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Artwork for Viremic – Cases in HIV

Latest Episodes

A 53-yr-old woman has a long history of HIV and a fully suppressed viral load. She feels irritable, does not feel rested in the mornings, and wakes up with sweats at night. Listen as Eileen Scully of Johns Hopkins and guest Sara Looby, from Massachus... more

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Dr. Joel Gallant joins host Chris Hoffmann of Johns Hopkins to review new data and developments from the 26th International AIDS Conference (AIDS 2026), which was held in Brazil in July. They focus on abstracts that have implications for HIV care.

R... more

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A 41-yr-old man with HIV for 15 years, suppressed on ART, has had elevated liver enzymes for several years. Listen as Chris Hoffmann and Juhi Moon from Hopkins review the differential diagnosis and diagnostic and management approaches with a focus on... more

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Hello Viremic listeners. We are taking a break for the month of July. Please check out our past episodes and catch up on any cases you may have missed.

We love hearing from our listeners, so please send us comments or potential case topics to virem... more

Key Facts

Accepts Guests
Accepts Sponsors
Contact Information
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Number of Listeners
Find out how many people listen to this podcast per episode and each month.

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Recent Guests

Joel Gallant
MD, infectious disease physician, longtime mentor referenced on the show
Johns Hopkins University
Episode: Case 27. What’s New from AIDS 2026 in Brazil with Dr. Joel Gallant
Juhi Moon
Specialist in diagnosis and management of hep C and liver related complications of HIV
Johns Hopkins University
Episode: Case 26. A Weighty Challenge: Elevated Liver Enzymes
Jeremy Kidd
Psychiatrist, addiction medicine specialist, and authority on the intersection of mental health, substance use, and HIV
ICANN School of Medicine; Medical director of outpatient addiction treatment at Mount Sinai West, New York City
Episode: Case 22. Sex with Drugs: Talking About Chemsex and Harm Reduction
Joel Blankson
HIV immunologist, physician-scientist at Johns Hopkins
Johns Hopkins University
Episode: Case 21. If You’ve Seen One, You Haven’t Seen Them All: Elite Controllers
Margie Urban
Infectious diseases clinician and STI guidance lead
University of Rochester School of Medicine
Episode: Case 20. New Options for Treating Pharyngeal Gonorrhea
Sanjiv Shah
Chief Medical Officer of Metro Plus Health in New York; infectious disease specialist
Metro Plus Health, New York
Episode: Case 19. Similar, but Not the Same: HIV-2 Diagnosis and Treatment
Paul Sax
Clinical Director of the Division of Infectious Diseases, Brigham and Women's Hospital; Bruce A and Robert L Beale Endowed Chair; Professor at Harvard Medical School
Brigham and Women's Hospital; Harvard Medical School
Episode: Case 18. What’s New from CROI 2026 with Dr. Paul Sax
Asa Radix
HIV clinician and a leader in advocacy research and policy for transgender people
Kellan-Lorde Clinic, New York City
Episode: Case 17. Trans Lives Matter: Affirmative HIV Care
Shauna Gunaratne
Assistant Professor of Medicine, Division of Infectious Diseases, Columbia University Medical Center; Associate Program Director for the Infectious Disease Fellowship Program
Columbia University Medical Center
Episode: Case 16. Mpox After the Outbreak

Hosts

Eileen Scully
Host of the show; infectious disease physician with HIV specialization
Christopher Hoffmann
Co-host, infectious disease physician; HIV specialist

Reviews

5.0 out of 5 stars from 16 ratings
  • Educational

    Excellent podcast. Learned a lot.

    Apple Podcasts
    5
    Meg Chuck
    United States8 months ago
  • Excellent Expert Teaching

    Drs. Scully and Hoffman offer insightful and high yield teaching around practical modern HIV treatment questions. Informed by both data and clinical practice, these podcasts are invaluable and accessible to any listener interested in HIV ranging from learner through seasoned clinician. The best podcast for HIV treatment learning that I’ve found.

    Apple Podcasts
    5
    MikeRoseMDMPH
    United States10 months ago
  • Thank you so much for starting this podcast. I'm a physician who is trying to learn the nuances of HIV. These three episodes have taught me a lot which will also help me teach my fellows/residents

    Podcast Addict
    5
    preranaroth
    a year ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Strong host expertise and practical case-focused approach.
High-yield clinical discussions; accessible to clinicians at varying levels of experience.
Professional, evidence-based teaching on HIV treatment and prevention.

Chart Rankings

How this podcast ranks in the Apple Podcasts, Spotify and YouTube charts.

Talking Points

Recent interactions between the hosts and their guests.

Case 27. What’s New from AIDS 2026 in Brazil with Dr. Joel Gallant
Q: What about the Islatravir–Lenacapavir combination and its potential resistance concerns in the presence of M184V mutations?
Early phase data suggest very low virologic failure even with some resistance mutations, but careful history-taking and susceptibility testing remain essential; these regimens could be viable even with certain mutations if adherence is good and drug levels are sufficient.
Case 27. What’s New from AIDS 2026 in Brazil with Dr. Joel Gallant
Q: Any comments or thoughts about this study on CAB‑repivirin in African adolescents?
The results show that long-acting injectables performed extremely well, with minimal viral rebound and a clear preference for injectables among adherent adolescents, while highlighting access disparities that could limit global impact.
Case 26. A Weighty Challenge: Elevated Liver Enzymes
Q: What are the practical management steps if MASLD/MASH is suspected or diagnosed?
Prioritize weight loss and metabolic risk factor control, screen and manage diabetes and lipids, consider GLP-1 therapies like semaglutide, and address liver fat and fibrosis through lifestyle, dietitian involvement, and appropriate imaging follow-up.
Case 26. A Weighty Challenge: Elevated Liver Enzymes
Q: How do you approach evaluating the cause of elevated liver enzymes in someone on ART?
Evaluate for hepatotoxic ART components, assess other medications, review metabolic factors, and consider MASLD/MASH with imaging and noninvasive fibrosis tests, while acknowledging the possibility of non-typical presentations like lean MASLD in HIV.
Case 26. A Weighty Challenge: Elevated Liver Enzymes
Q: What would you want to know next in building a differential and approach to a patient like this?
Key next steps include confirming hepatitis B and C status, assessing metabolic risk factors, calculating or reassessing fibrosis risk with FIB-4 while recognizing its limitations in HIV, and planning imaging such as elastography to stage fibrosis.

Audience Metrics

Listeners, social reach, demographics and more for this podcast.

Listeners per Episode
Gender Skew
Location
Interests
Professions
Age Range
Household Income
Social Media Reach

Frequently Asked Questions About Viremic – Cases in HIV

What is Viremic – Cases in HIV about and what kind of topics does it cover?

Viremic focuses on case-based HIV care discussions led by two Johns Hopkins infectious disease experts. Episodes cover clinical reasoning around diagnosis, treatment decisions, prevention strategies, and the latest guidelines, often with case-style dialogue to translate complex evidence into practical care considerations. A standout feature is the integration of real-world challenges—adherence, stigma, access to care, and public health implications—into tightly argued clinical conversations. The show frequently features guests with deep expertise in HIV, STI management, and related specialties, making it a valuable resource for clinicians seeking practical, evidence-informed approaches in adult HIV care.

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Which podcasts are similar to Viremic – Cases in HIV?

These podcasts share a similar audience with Viremic – Cases in HIV:

1. NECA in the Know
2. Infectious Disease Puscast
3. National HIV Curriculum Podcast
4. Breakpoints
5. Going anti-Viral

How many episodes of Viremic – Cases in HIV are there?

Viremic – Cases in HIV launched a year ago and published 30 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Viremic – Cases in HIV?

Recent guests on Viremic – Cases in HIV include:

1. Joel Gallant
2. Juhi Moon
3. Jeremy Kidd
4. Joel Blankson
5. Margie Urban
6. Sanjiv Shah
7. Paul Sax
8. Asa Radix

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