ISSN 0973 - 9289

January 2013 NEWSLETTER

Newsletter

2013

January

January 2013 Newsletter

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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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