ISSN 0973 - 9289

MARCH 2019 NEWSLETTER

Newsletter

2019

MARCH

March 2019 Newsletter

GRAND ROUNDS

An 8 years old HIV infected boy presented with neuroregression for past 6 months. Initially, he was unable to walk properly, followed by frequent falls and now the child was bedridden. Subsequently, he lost bladder and bowel control and speech has now come down to monosyllables. However, he is able to communicate with the parents. He was on Zdovudine (AZT), lamivudine (3TC) and Nevirapine (NVP) for the past 3 years but these medications had been stopped for the past 6 months. Both parents were also HIV infected. On examination, he was alert, had generalized lymphadenopathy, with failure to thrive (Weight = 16 kg, <5th centile; Height = 110cm, <5th centile) with pallor. On CNS examination, he had clasp knife spasticity, power of 3/5 and brisk deep tendon reflexes with extensor planters. There were no other sensory or focal neurological deficits. Other systems were normal.

What is the cause of his CNS disease?

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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