ISSN 0973 - 9289

NOVEMBER 2012 NEWSLETTER

Newsletter

2012

November

November 2012 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. 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

What is the cause of breathlessness?

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Question Of the Day

Hello I have a child with HIV put on ATT. 15 days on ATT we did a sgpt 153. we put him on ART d4T+3TC+EFV on day 15 of ATT. child on day 10 of ATT+ART showed SGPT 402. his bilirubin is normal and he does not have any symptoms of GI upset or Respiratory symptons. what do i do? should i stop ATT or ART or BOTH.

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HIV CONFERENCE

3RD PEDIATRIC INFECTIOUS DISEASES CONFERENCE CLINICAL DILEMMAS - PIDC 2012 on 9th December 2012 at Nehru Science Centre, Worli, Mumbai.

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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