ISSN 0973 - 9289

June 2014 NEWSLETTER

Newsletter

2014

June

June 2014 Newsletter

GRAND ROUNDS

An 11 years old HIV infected boy was referred for HIV management. He has been treated for tuberculosis (TB) 1½ years ago for 9 months with anti TB treatment (ATT). On examination, he had generalized lymphadenopathy, papular dermatitis, bilateral crepts in both lungs and hepatosplenomegaly. Chest X-Ray showed left lower zone haziness that was persisting for the past 1½ years. His CD4 count was 157 cells/cumm. He was suspected to have drug resistant (DR) TB and started on category 2 of ATT and sputum was sent for TB culture. There was no growth of mycobacteria even after 6 weeks. At end of 6 weeks, he was also started on antiretroviral therapy (ART) consisting of zidovudine (AZT), lamivudine (3TC) and efavirenz (EFV). Inspite of category 2 ATT for 4 months and ART, there was no improvement in chest X-Ray, infact the haziness had increased. The child however had put on 5 kg in these past 4 months and had developed clubbing and parotid enlargement and continued to have fine crepts.

What is the cause of his respiratory problems?

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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