HIV in Children
FEBRUARY 2013 NEWSLETTER
HIV IN CHILDREN
February 2013 Newsletter
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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. Family history and past history was non-contributory. On examination, she was averagely nourished with weight of 17 kg and height of 108 cm. She had periorbital edema, cervical lymphadenopathy, pallor, bilateral basal crepitations and hepatomegaly. Her investigations showed
- Hemoglobin = 7.2 gm/dl
- WBC count = 3,000/cumm [56% polymorphs, 44% lymphocytes]
- Platelet count = 4,00,000/cumm
- BUN = 31 mg/dl
- Creatinine = 2 mg/dl (decreased to 0.4 mg% following IV Fluids)
- S. electrolytes = Normal
- Total proteins = 5.6 gm/dl, Albumin = 3 gm/dl
- Urine = Normal (No albuminuria)
- SGPT = 52 IV/L
- Chest X-Ray = Bilateral pneumonitis
- USG Abdomen = Both kidneys normal in size with bright echotexture
- HBsAg, Anti HCV = Negative
- HIV ELISA = Positive
- Both parents HIV ELISA = positive
- Ear swab = Pseudomonas

Did the child have IRIS - immune reconstitution syndrome?

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Q. I HAVE A CHILD WHO IS 1 YEAR OLD AND IM HIV POSITIVE. I BREASTFEED HIM FOR TWO MONTHS. HE WAS TESTED FOR HIV WHEN HE WAS 3 MONTHS AND HE TESTED NEGATIVE. SO I WANT TO KOW IF THEY IS A CHANCE THAT HE CAN TEST POSITIVE ON THE SECOND TEST.
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NEW ARRIVAL
Infection in Children - Part 2

By Dr. Ira Shah
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Tuberculosis
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Management of Pediatric HIV
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