AKT-3313

You have been seeing a 52-year-old man who has been frequently attending with lower respiratory tract infections. He has lost weight and appears pale and gaunt. During your consultation, you inquire about his travel history and any potential exposure to sexually transmitted infections. The patient confesses to having unprotected sexual intercourse with a sex worker while on a business trip to Thailand a few years ago when his marriage was going through a rough patch. Since then, he has reconciled with his wife and she has been his only sexual partner. With the patient’s consent, you conduct a blood test to screen for Human Immunodeficiency Virus (HIV), which comes back positive. You discuss the implications of the result with the patient, but he insists that he cannot disclose this information to his wife, who is also a patient at your practice. What is your course of action?