ISSN 0973 - 9289

February 2019 NEWSLETTER

HIV IN CHILDREN
February 2019 Newsletter
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GRAND ROUNDS
A 4 years old HIV infected boy presented with a cough with expectoration and minute amount of hemoptysis for a month, low-grade evening rise in body temperature for 20 days and breathlessness for 10 days. Grandmother had tuberculosis (TB) 3 years ago. On examination, the trachea was shifted to the right and chest movements are decreased on the right side. Apex impulse was parasternal in 4th right intercostal space suggestive of dextrocardia. Vocal resonance was decreased on the right side of the chest and there were florid crepitations on the entire right side with decreased air entry and bronchial breathing on the right infraclavicular area. There was no clubbing. Ultrasound (USG) Abdomen shows situs inversus with dextrocardia. Other systems are normal.

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