ISSN 0973 - 9289

February 2018 NEWSLETTER

Newsletter

2018

February

February 2018 Newsletter

GRAND ROUNDS

An 11 years old HIV infected boy presented with generalized abdominal pain and progressive abdominal distension along with fever for 1 month. Father had pulmonary tuberculosis and was on anti TB treatment (ATT) for the past 5 months. On examination, child was pale, hypotensive, had poor peripheral pulses. Abdomen was tender and he had guarding with rigidity along with hepatosplenomegaly. Bowel sounds were present. Other systemic examination was normal. He was shifted to the intensive care unit and started on IV antibiotics, IV fluids, and inotropes. Packed cell transfusion was given in view of low hemoglobin. CT abdomen revealed enlarged partly conglomerate mildly enhancing lymphnodes of varying size in the upper abdomen and retroperitoneum and small bowel mesentery with areas of necrosis within. He underwent explorative laprotomy and was found to have normal bowel with few small mesenteric nodes and a large retroperitoneal lymph node mass measuring 15 X 20 cm.

What is the cause of this large retroperitoneal lymph node mass?

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Q. What are the signs in children on HIV?

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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