HIV in Children
August 2014 NEWSLETTER


HIV IN CHILDREN
August 2014 Newsletter
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GRAND ROUNDS
An 18 months old boy presented with fever for 15 days and cough for 5 days. Father had tuberculosis 1 year ago and was also HIV infected. Mother was HIV negative. Father was on treatment with antiretroviral therapy (ART) and had taken antituberculous therapy (ATT) for 6 months. The child was a full term normal delivery, breast fed till 6 months of age and now on a complete solid food diet. He had no other illnesses in past. He was immunized till date. On examination, he had crepts in left infraclavicular region and hepatosplenomegaly. Weight was 10 kg. Investigations showed:
- Hemoglobin = 10 gm/dl, WBC count = 10,000/cumm and platelet count of 2,20,000/cumm
- ESR = 70 mm at end of 1 hour
- Mantoux test = Positive
- Chest X-Ray = Left mid zone and lower zone pneumonia
- USG Abdomen = Hepatosplenomegaly with multiple lymphadenopathy
- Renal and liver function tests = Normal
- HIV ELISA = Negative
- HBsAg, Anti HCV = Negative.


Does this child have HIV? What is the cause of his symptoms?

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Question Of the Day
Q. A 8 weeks infant born to a mother hiv positive. With adequately covered art in antenatal period. Post natal received 6 weeks of art with nevirapine and zidovudine and no breast feeding. HIV dna pcr done at 6 weeks is negative.elisa positive. How to approach further? 1. Stop ART? 2. Any further investigations? 3. Is this child hiv free?
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Pediatric Oncall Book Store
NEW ARRIVAL
Infection in Children - Part 2

By Dr. Ira Shah
Case Rounds in Pediatric Liver Disorders
By Dr. Ira Shah
Tuberculosis
By Dr. Ira Shah
Management of Pediatric HIV
By Dr. Ira Shah
Infection in Children
By Dr. Ira Shah