HIV in Children
JULY 2013 NEWSLETTER
HIV IN CHILDREN
July 2013 Newsletter
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GRAND ROUNDS
A 10 year old boy presented with fever for one month. There was no cough, urinary or bowel complaints. Investigations showed multiple abdominal lymphadenopathy (largest = 1.8 cm x 1.2 cm) with positive Mantoux test. He was started on 4 drug antituberculous therapy (ATT) consisting of Isoniazid (INH), Rifampicin, Pyrazinamide and Ethambutol. A screening for HIV by ELISA was positive and his HIV infection was confirmed by a repeat HIV ELISA test by another kit. A CD4 count done was 57 cells/cumm (CD4 percent = 9%). The child was started on 3 drugs antiretroviral therapy (ART) consisting of Stavudine (d4T), Lamivudine (3TC) and Efavirenz (EFV) after 1 month of ATT as his fever still persisted. After 2 months of ATT and one month of ART, the fever still persisted. A repeat abdominal ultrasound showed increase in the size of the lymph nodes (largest = 4.6 x 1.2 cm

How should this child be managed ?

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Question Of the Day
Q. If a mother is in ARV treatment on deliver time should she receive just NvP or just AzT or both combined.
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4th Pediatric Infectious Diseases Conference on 17th November 2013,
Nehru Science Centre, Worli, Mumbai.
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NEW ARRIVAL
Infection in Children - Part 2

By Dr. Ira Shah
Case Rounds in Pediatric Liver Disorders
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Tuberculosis
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Management of Pediatric HIV
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Infection in Children
By Dr. Ira Shah