ISSN 0973 - 9289

July 2013 NEWSLETTER

Newsletter

2013

July

July 2013 Newsletter

GRAND ROUNDS

A 10 year old boy presented with fever for one month. There was no cough, urinary or bowel complaints. Investigations showed multiple abdominal lymphadenopathy (largest = 1.8 cm x 1.2 cm) with positive Mantoux test. He was started on 4 drug antituberculous therapy (ATT) consisting of Isoniazid (INH), Rifampicin, Pyrazinamide and Ethambutol. A screening for HIV by ELISA was positive and his HIV infection was confirmed by a repeat HIV ELISA test by another kit. A CD4 count done was 57 cells/cumm (CD4 percent = 9%). The child was started on 3 drugs antiretroviral therapy (ART) consisting of Stavudine (d4T), Lamivudine (3TC) and Efavirenz (EFV) after 1 month of ATT as his fever still persisted. After 2 months of ATT and one month of ART, the fever still persisted. A repeat abdominal ultrasound showed increase in the size of the lymph nodes (largest = 4.6 x 1.2 cm

How should this child be managed ?

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Question Of the Day

Q. If a mother is in ARV treatment on deliver time should she receive just NvP or just AzT or both combined.

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Upcoming Conferences

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

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SUBMIT TO HIV IN CHILDREN

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HIV ARTICLE

>> Antiretroviral Therapy Combinations to be avoided

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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 ....

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