ISSN 0973 - 9289

August 2013 NEWSLETTER

Newsletter

2013

august

August 2013 Newsletter

GRAND ROUNDS

A 10 year old boy was diagnosed to be HIV infected. He had fever, weight loss, anorexia since 3 months and both parents were HIV infected. On examination, he had generalized lymphadenopathy with splenomegaly. Other systems were normal. Weight was 18 kg. His CD4 was 270 cells/cumm (15%) and CD4:CD8 was 0.19. Hemogram showed hemoglobin of 12.4 gm%, WBC count = 10,900/cumm (68% polymorphs, 30% lymphocytes) and ESR of 100 mm at end of 1 hour. He was started on 3 drug antiretroviral therapy (ART) consisting of Zidovudine (AZT), Lamivudine (3TC) and Nevirapine (NVP). He was alright for next 5 years and CD4 count improved to 420 cells/cumm (21%). Subsequently he developed fever, anorexia and weight loss for 2 months. Investigations showed a right lower zone pneumonia with hemoglobin of 6.3 gm%, WBC count = 1000/cumm (Absolute Neutrophil count = 160/cumm) and ESR of 70 mm at end of 1 hour with thrombocytopenia.

What could be the cause of pancytopenia in this child?

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Question Of the Day

Q. i have a 2 months old in my OPD,2.2kg,male born at 32 weeks,otherwise thriving well infant with hiv positive mother who caught it through a blood transfusion during an MTP app. 2 yeras back. the baby is on top milk by spoon on syp. Zidovudine since birth. Till now baby has not investigated for hiv -kindly suggest me- 1.what invesigations are to be done when 2. vaccination schedule for this baby.

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Upcoming Conferences

4th Pediatric Infectious Diseases Conference on 17th November 2013,
Nehru Science Centre, Worli, Mumbai.

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HIV ARTICLE

>> Antiretrovirals - Drug Interactions

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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