ISSN 0973 - 9289

August 2014 NEWSLETTER

Newsletter

2014

august

August 2014 Newsletter

GRAND ROUNDS

An 18 months old boy presented with fever for 15 days and cough for 5 days. Father had tuberculosis 1 year ago and was also HIV infected. Mother was HIV negative. Father was on treatment with antiretroviral therapy (ART) and had taken antituberculous therapy (ATT) for 6 months. The child was a full term normal delivery, breast fed till 6 months of age and now on a complete solid food diet. He had no other illnesses in past. He was immunized till date. On examination, he had crepts in left infraclavicular region and hepatosplenomegaly. Weight was 10 kg. Investigations showed:
- Hemoglobin = 10 gm/dl, WBC count = 10,000/cumm and platelet count of 2,20,000/cumm
- ESR = 70 mm at end of 1 hour
- Mantoux test = Positive
- Chest X-Ray = Left mid zone and lower zone pneumonia
- USG Abdomen = Hepatosplenomegaly with multiple lymphadenopathy
- Renal and liver function tests = Normal
- HIV ELISA = Negative
- HBsAg, Anti HCV = Negative.

Does this child have HIV? What is the cause of his symptoms?

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Question Of the Day

Q. A 8 weeks infant born to a mother hiv positive. With adequately covered art in antenatal period. Post natal received 6 weeks of art with nevirapine and zidovudine and no breast feeding. HIV dna pcr done at 6 weeks is negative.elisa positive. How to approach further? 1. Stop ART? 2. Any further investigations? 3. Is this child hiv free?

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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