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ISSN 0973 - 9289

MAY 2015 NEWSLETTER

Newsletter 2015 MAY
HIV IN CHILDREN
May 2015 Newsletter
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GRAND ROUNDS
A 13 years old HIV infected boy presented with hematuria, fever, pain on micturation while passing urine. On examination, he had generalized lymphadenopathy and multiple healed pyoderma scars over lower limbs, weight was 23 kg and height was 133.5 cm. His urine showed 10-12 pus cells/hpf with 10-15 RBCs/hpf. Urine culture did not grow any organism. Ultrasound of abdomen showed splenic microabscesses with multiple retroperitoneal lymphnodes. Chest X-Ray and mantoux were negative. ASLO test was negative. The child was treated with cloxacillin but fever persisted. Subsequently he underwent a lymph node biopsy and it was suggestive of tuberculosis. He was started on anti TB treatment and the abscesses subsided. His CD4 count was 254/cumm. He was subsequently started on antiretroviral therapy (ART)

What are the common causes of splenic microabscesses in HIV infected children?

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Question Of the Day
Q. A hospital worker nursing a 4month old baby had a needle stick injury at work. Rapid test was done and she was seronegative, hence was placed on PEP with AZT and 3TC and adviced to stop breastfeeding. Baby was previously on breast feeding and infant formula feeds. Mother wishes to continue breast feeding while on PEP, any risk to her baby?
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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 ....
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