ISSN 0973 - 9289

MAY 2014 NEWSLETTER

Newsletter

2014

MAY

May 2014 Newsletter

GRAND ROUNDS

A 9 years old boy, recently diagnosed as HIV infected was referred for further management. Though he was asymptomatic, CD4 count was 91 cells/cumm. He was started on antiretroviral therapy (ART) consisting of stavudine (d4T), lamivudine (3TC) and nevirapine (NVP). After 6½ years at the age of 15 years, his CD4 count fell to 254 cells/cumm after reaching a peak of 528 cells/cumm. He was advised an HIV viral load testing. In the meantime, he developed a left lower zone consolidation not improving with antibiotics with a positive tuberculin skin test (15 mm). He was started on anti TB treatment with Isoniazid, rifampicin, pyrazinamide & ethambutol. His nevirapine dose was increased by 30%. His HIV viral load was 20,700 copies/ml. His sputum culture after 6 weeks grew mycobacterium tuberculosis complex.

What ART should the child be given? Any changes is required in anti TB medications?

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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