ISSN 0973 - 9289

SEPTEMBER 2018 NEWSLETTER

Newsletter

2018

September

September 2018 Newsletter

GRAND ROUNDS

A 4 month old boy, presented with not gaining weight since birth. He was born at full term by normal vaginal delivery and had a birth weight of 3kg. Mother had fever at 7-8 months of gestation and had received antibiotics orally for same. The child on Day 15 of life developed rash over body with fever which cleared off in 4 days. At 2 months of age, he had hematemesis with malena and was given whole blood transfusion and fresh frozen plasma. An older male child had died at 1½ months of age due to failure to thrive. On examination, he was malnourished (weight = 2.75 kg), had pallor, large ears and firm hepatomegaly. Other systems were normal. Investigations showed:
• Bilirubin = 2.5 mg% (direct = 1.3 mg %)
• SGOT = 123 IU/L, SGPT = 66 IU/L (elevated)
• Total proteins = 6.7 gm%, albumin = 2.3 gm%
• VDRL, HIV ELISA = Negative
• TORCH = CMV IgG positive, Rest all IgM & IgG negative
• CMV viral load = 3000 copies/ml
• Hearing & eye examination = Normal

After 10 days, liver enzymes and bilirubin were normal and hemogram was also normal and child’s regurgitation episodes also decreased.

Does the CMV infection require treatment?

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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