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SEPTEMBER 2016 NEWSLETTER
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2016
September
September 2016 Newsletter
GRAND ROUNDS
A 2½ month old boy presented with cough and cold for 20 days. Child was treated with IV antibiotics for pneumonia but there was no relief. On examination, weight was 4.25 kg, he had tachypnea with respiratory rate of 56/min with intercostal and subcostal retraction. Multiple cervical and axillary lymphnodes were palpable. On systemic examination, he had hepatosplenomegaly. There were decreased air enter on bilateral bases of lungs. Other systems were normal. BCG mark was absent. CT chest showed multiple necrotic mediastinal lymphnodes. Acid fast bacilli was seen on lymphnode biopsy and bronchoalveolar lavage. HIV ELISA was negative. Chest X-Ray of all family members was normal.
How did this child get tuberculosis?
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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