ISSN 0973 - 9289

February 2013 NEWSLETTER

Newsletter

2013

February

February 2013 Newsletter

GRAND ROUNDS

Case Report: - A 5 year old girl presented with fever since 2 months, pain in abdomen since 15 days, headache since 5 days, periorbital edema since 4 days and decreased urine output with bilateral otorrhoea since 3 days. Family history and past history was non-contributory. On examination, she was averagely nourished with weight of 17 kg and height of 108 cm. She had periorbital edema, cervical lymphadenopathy, pallor, bilateral basal crepitations and hepatomegaly. Her investigations showed
- Hemoglobin = 7.2 gm/dl
- WBC count = 3,000/cumm [56% polymorphs, 44% lymphocytes]
- Platelet count = 4,00,000/cumm
- BUN = 31 mg/dl
- Creatinine = 2 mg/dl (decreased to 0.4 mg% following IV Fluids)
- S. electrolytes = Normal
- Total proteins = 5.6 gm/dl, Albumin = 3 gm/dl
- Urine = Normal (No albuminuria)
- SGPT = 52 IV/L
- Chest X-Ray = Bilateral pneumonitis
- USG Abdomen = Both kidneys normal in size with bright echotexture
- HBsAg, Anti HCV = Negative
- HIV ELISA = Positive
- Both parents HIV ELISA = positive
- Ear swab = Pseudomonas

Did the child have IRIS - immune reconstitution syndrome?

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Q. I HAVE A CHILD WHO IS 1 YEAR OLD AND IM HIV POSITIVE. I BREASTFEED HIM FOR TWO MONTHS. HE WAS TESTED FOR HIV WHEN HE WAS 3 MONTHS AND HE TESTED NEGATIVE. SO I WANT TO KOW IF THEY IS A CHANCE THAT HE CAN TEST POSITIVE ON THE SECOND TEST.

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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