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A 31-year-old woman was diagnosed with HIV infection in January 2002, when she was pregnant with her first child. Her initial CD4 count was 350 cells/mm3, and her viral load was 15,000 copies/mL. She was started on AZT/3TC + nevirapine but was switched to AZT/3TC + nelfinavir after developing fever, rash, and hepatitis. After her baby was born HIV-negative, she continued on this regimen for several years. However, the father of the child left her soon after the delivery, and she was forced to work two jobs as a medical assistant while asking her extended family to help care for the child. She frequently missed follow-up appointments and acknowledged that she often stopped treatment when life became too chaotic or she didn’t remember to refi…