ISSN 0973 - 9289

July 2019 NEWSLETTER

Newsletter

2019

July

July 2019 Newsletter

GRAND ROUNDS

A 6 months old girl born of non consanguineous marriage presented with progressively increasing abdominal distension along with pallor. She was hospitalized for the same and found to have hepatosplenomegaly with anemia and CMV IgM positive. She was given a blood transfusion, underwent a liver biopsy and referred for further management. Liver biopsy was normal. Hemoglobin electrophoresis, HIV ELISA were normal. She was born full term, has two elder sisters who are normal. Mother had one IUGR boy who died at 5 days of life after the first child. The patient was on exclusive breast feeds and had achieved milestones appropriately for her age. Mother had fever in the 8th month of gestation. On examination, the child was well nourished (weight = 5 kg, height = 58 cms), had hepatosplenomegaly. Other systems were normal. Investigations showed hemoglobin of 13.3 gm% (post transfusion), WBC count of 37,300/cumm (60% polymorphs, 32% lymphocytes), platelets of 1,42,000/cumm. Her bone marrow examination was normal. Ultrasound abdomen showed hepatosplenomegaly. Her ophthalmological examination, hearing test and liver function tests were normal. Her CMV Viral load was 25 copies/ml. HIV Elisa was positive.

Does this child need treatment for CMV?

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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