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August 2018 NEWSLETTER
Newsletter
2018
august
August 2018 Newsletter
GRAND ROUNDS
One and a half years old boy presented with fever, convulsion and altered sensorium for 4 days. The child had undergone circumcision under general anesthesia 4 days ago following which in next 6 hours, he developed fever, convulsion and unconsciousness. The convulsion was left focal with repeated episodes. Cerebrospinal fluid (CSF) examination showed 5 lymphocytes/cumm with occasional RBCs and normal sugar and proteins. EEG showed pleds. MRI brain showed hyperdensities in right temporoparietal, bilateral frontal and occipital lobes with bilateral temporal hemorrhage. He had elevated liver enzymes [SGOT = 249 IU/L, SGPT = 99 IU/L]. CSF herpes simplex (HSV) PCR was negative. He was treated with multiple anticonvulsants, acyclovir to which his seizures responded.
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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