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MARCH 2016 NEWSLETTER
Newsletter
2016
MARCH
March 2016 Newsletter
GRAND ROUNDS
A 16 years old girl was referred for management of her Hepatitis C infection. She had an olfactory neuroblastoma at 3 months of age for which she was operated and given chemotherapy and cranial irradiation. She also received several blood transfusions and fresh frozen plasma during her treatment for the neuroblastoma. She had 2 episodes of jaundice at 5 years and 12 years respectively. Her liver enzymes were elevated for past 2 years. Hepatitis C viral load was 3,36,000 copies/ml and liver biopsy showed mild hydropic changes with focal minimal steatosis, periportal bridging fibrosis and parenchymal necrosis [HAI Stage 7].
How should this child be treated for her HCV infection?
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Question Of the Day
Q. When we have to change achild on 4A (AZT60MG/3TC30MG/NVP50MG) REGIME to adult dose1A (AZT300MG/3TC150MG/NVP200MG) ? Is it when his /her weight became 25kg or 35kg?
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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