ISSN 0973 - 9289

MARCH 2014 NEWSLETTER

Newsletter

2014

MARCH

March 2014 Newsletter

GRAND ROUNDS

A one and a half month old girl born to HIV infected parents presented with vomiting since 2 days and breathlessness since 1 day. Mother was diagnosed to be HIV infected during 5th month of gestation and received zidovudine (AZT) prophylaxis. She underwent elective caesarean section at 38 weeks of gestation. Baby was kept on formula feeds since birth and given AZT prophylaxis (2 mg/kg/dose qds). Birth weight of the child was 2.8 kg. On presentation, child had heart rate of 130/min, respiratory rate of 60/min. She was alert and active with present weight of 4 kg. She had a soft hepatomegaly and other examination findings were normal. Investigations showed:-
- Hemoglobin = 10 gm/dl
- WBC = 7,000/cumm [50% polymorphs, 48% lymphocytes]
- Platelets = Adequate
- Chest X-Ray = Normal
- CRP = Negative
- SGPT = 78 IU/L
- Venous blood gas = Metabolic acidosis with high anion gap.
- Serum lactate = elevated

How to treat the lactic acidosis in this child?

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Question Of the Day

Q. What vaccines should be given for a healthy 5 1/2 year old hiv positive child?

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Pediatric HIV Updates 2013

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HIV ARTICLE

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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