HIV in Children
APRIL 2013 NEWSLETTER
HIV IN CHILDREN
April 2013 Newsletter
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GRAND ROUNDS
A 5 1/2 years old boy presented with not gaining weight for the past one year and recurrent cough and cold. He also had pneumonia 10 days ago that needed hospitalization. The child had received exchange transfusion on Day 5 of life in view of neonatal jaundice. On examination, he was malnourished (weight = 13 kg) had multiple insignificant cervical lymphadenopathy. HIV ELISA was positive which was confirmed by Western blot test. Both parents HIV ELISA was negative. His CD4 count was 143 cells/cumm and Mantoux test, Hepatitis C ELISA and HBsAg were negative. He was started on 3 drugs Antiretroviral therapy (ART) consisting of Zidovudine (AZT), Lamivudine (3TC) and Efavirenz (EFV). Fifteen days after starting ART, on biochemical screening, he was found to have serum amylase of 899 IU/L which increased to 1180 IU/L after a month. However the child was asymptomatic.

What should be done in this child?

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Question Of the Day
Q. why is it that when one of the things often seen in infants with HIV infection is "small or absent lymph nodes, tonsils, and adenoids"?
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