SV is a newly diagnosed patient with HIV who returns to emer…
SV is a newly diagnosed patient with HIV who returns to emergency room 1 month later with complaints of seeing spots. He had difficulty getting the HIV medication filled as the copay was too high and he did not attend his follow-up appointment after last ER visit. His HIV viral load is 175,800 copies and CD4 count is 45 cells. An ophthalmologist is called to exam the patient who is concerned for CMV. What medication would be the optimal first line regimen?