HIV in Children
May 2014 NEWSLETTER


HIV IN CHILDREN
May 2014 Newsletter
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GRAND ROUNDS
A 9 years old boy, recently diagnosed as HIV infected was referred for further management. Though he was asymptomatic, CD4 count was 91 cells/cumm. He was started on antiretroviral therapy (ART) consisting of stavudine (d4T), lamivudine (3TC) and nevirapine (NVP). After 6½ years at the age of 15 years, his CD4 count fell to 254 cells/cumm after reaching a peak of 528 cells/cumm. He was advised an HIV viral load testing. In the meantime, he developed a left lower zone consolidation not improving with antibiotics with a positive tuberculin skin test (15 mm). He was started on anti TB treatment with Isoniazid, rifampicin, pyrazinamide & ethambutol. His nevirapine dose was increased by 30%. His HIV viral load was 20,700 copies/ml. His sputum culture after 6 weeks grew mycobacterium tuberculosis complex.

What ART should the child be given? Any changes is required in anti TB medications?

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Pediatric Oncall Book Store
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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Infection in Children
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