ISSN 0973 - 9289

December 2012 NEWSLETTER

Newsletter

2012

December

December 2012 Newsletter

GRAND ROUNDS

Case Report: - A 5 year old girl presented with fever since 2 months, pain in abdomen since 15 days, headache since 5 days, periorbital edema since 4 days and decreased urine output with bilateral otorrhoea since 3 days. On examination, she had cervical lymphadenopathy, pallor, bilateral basal crepitations and hepatomegaly. Her HIV Elisa was positive and ear swab grew pseudomonas. She was treated with intravenous fluids following which she passed urine and also received antibiotics in view of otitis media and pneumonia. However, she developed a right sided lower motor neuron facial palsy. CT brain was normal and CSF examination was also normal. She also received a blood transfusion in view of anemia. Fever responded after 4 weeks of antibiotics. Her CD4 count was 121/cumm (21%). She was started on 3 drug antiretroviral therapy (ART) with Zidovudine (AZT), Lamivudine (3TC) and Nevirapine (NVP). Two weeks after ART, she presented with vomiting since 2 days, oliguria since 1 day and loss of weight. On examination, she had bilateral foul smelling otorrhoea, Grade III dehydration, and was hypotensive (BP = 90/60 mm Hg). Her serum creatinine was 4.5 mg/dl. She also had acidosis (bicarbonate = 7 mmol/L) and hyperkalemia (serum potassium = 6 mEq/L). The child developed cardiogenic shock, pulmonary edema and inspite of ionotropes died within 5 hours. Her CD4 count this time was 5 cells/cumm.

Did the child have IRIS - immune reconstitution syndrome?

>> Read More...

Question Of the Day

I HAVE A 7 YEARS OLD GIRL IN MY WARD,RECENTLY DIAGNOSED WITH HIV,BUT BOTH HER PARENTS ARE NEGATIVE ACCORDING TO ELLISA

>> Answer Now...

>> HIV BLOGS

>> ASK EXPERTS

SUBMIT TO HIV IN CHILDREN

HIV IN CHILDREN ensures that your scientific research gets the maximum coverage and visibility both internationally and nationally that it deserves. SUBMIT TO HIV IN CHILDREN - HAVE A GLOBAL PRESENCE

>> Submit Now

HIV ARTICLE

>> Pathogenesis of HIV Disease

PARTNER SITES
>> Pediatric Oncall	>> Medical Adris
>> Vaccine Reminder

HIV GRAND ROUNDS

A 32 years old HIV infected pregnant female (G2P2L1) presented at 36 weeks of pregnancy for deciding neonatal antiretroviral (ARV) prophylaxis. Her HIV viral load at 34 weeks of gestation was undetectable and she was on antiretroviral therapy (ART) consisting ....

HIV IN CHILDREN APPS