HIV in Children
JANUARY 2013 NEWSLETTER
HIV IN CHILDREN
January 2013 Newsletter
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GRAND ROUNDS
A 6 year old HIV infected boy presented with fever and otorrhoea since 1 month and pain in abdomen since 15 days. On examination, the child was pale with tachycardia (heart rate = 130/min), had multiple cervical, axillary and inguinal lymphnodes, hepatomegaly, bilateral purulent otorrhoea and cardiomegaly. He was malnourished (weight 11 kg). Investigations showed:

• Hemoglobin = 5.2 gm%
• WBC count = 6,600/cumm
• ESR = 150 mm at end of 1 hour
• USG Abdomen = hepatosplenomegaly with multiple lymphadenopathy with matting and central caseation.
• Chest X-Ray = Right hilar lymphadenopathy with apical zone consolidation
• Blood culture = No growth
• Urine fungal culture = Candida
• Total proteins = 5.8 gm/dl, Albumin = 2.6 gm%
• CD4 = 103/cumm (8.7%),
• Ear culture = pseudomona aeruginosa
• Mantoux test = Negative
• Stool = cysts of cryptosporidia
• Sputum for Acid fast bacillus = Negative.

How to manage this child?

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