ISSN 0973 - 9289

MAY 2016 NEWSLETTER

HIV IN CHILDREN
May 2016 Newsletter
FACEBOOK TWITTER YOUTUBE
GRAND ROUNDS
An 11 years old HIV infected girl was referred for further management. Her CD4 count was 188 cells/cumm. CBC showed thrombocytopenia (Hemoglobin = 11 gm/dl, WBC = 5,700/cumm, platelets = 30,000/cumm). She was started on 3 drugs ART consisting of zidovudine (AZT), lamivudine (3TC) and nevirapine (NVP) along with trimethoprim-sulphamethaxole prophylaxis. On follow up after 3 months, she had a weight gain of 1 kg but continued to have thrombocytopenia and even after 6 months, thrombocytopenia persisted.

Why is her thrombocytopenia not responding to ART?

>> Read More...
Question Of the Day
Q. We have a 9 yr old retroviral positive girl admitted with epistaxis, with platelet count of 4000; treated as per the protocol with methyprednisolone and platelet transfusion,temporarily platelet count improved to 23,000 after 2 days, following which steroids were stopped.
Child also had anemia and I/v/o zidovidine induced anemia,changed to abacavir regimen. Within 4 days child again developed epistaxis,and the platelet count was 3000;and child had signs of severe blood loss, hence received PRBC's, platelet transfusion along with methylprednisolone pulse theraphy for 5 days; following which platelet count improved to 35000.
Meanwhile her CD4 count is 245. She also gives past history of epistaxis 4 months before which stopped by itself. Our working diagnosis was chronic ITP. Kindly guide us regarding the management of chronic ITP in hiv positive children and also on the concern regarding duration of steroid treatment in them as they are immunosuppressed.
>> Answer Now...
 
>> HIV BLOGS >> ASK EXPERTS
 
SUBMIT TO HIV IN CHILDREN
HIV IN CHILDREN ensures that your scientific research gets the maximum coverage and visibility both internationally and nationally that it deserves. SUBMIT TO HIV IN CHILDREN - HAVE A GLOBAL PRESENCE

>> Submit Now
HIV ARTICLE
>> HIV AND IMMUNIZATION
PARTNER SITES
>> Pediatric Oncall >> Medical Adris
>> Vaccine Reminder  
Hiv in Children

This website is with a purpose to create awareness about impact of HIV in children, to dispel the myths and misconceptions and to aid the clinicians to develop a clinical acumen for effective management of these children and the affected families.




Contact

HIV IN CHILDREN,

1/B,Saguna,271/B,

St.Francis Road

Vile Parle(W),

Mumbai-400056.

E-Mail Address : info@hivinchildren.org


Copyright © 2001 - 2024 HIV In Children All Rights Reserved. All trademarks used are the properties of their respective owners.
Disclaimer: The information given by www.hivinchildren.org is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by HivInChildren of the quality or value of the said product or of claims made by its manufacturer.