ISSN 0973 - 9289

MAY 2019 NEWSLETTER

Newsletter

2019

MAY

May 2019 Newsletter

GRAND ROUNDS

A 2-month-old female child presented with diarrhea, fever, and perianal swelling for 2 days. She also has a failure to thrive in spite of exclusive breastfeeds. Birth weight was 2.5 kg.. On examination, she was malnourished (weight = 1.8 kg) and dehydrated. There was no lymphadenopathy or organomegaly. The perianal abscess was drained and the child was put on IV antibiotics. Mother’s HIV ELISA test was negative. Investigation showed:
• Hemoglobin = 6.5 gm/dl
• WBC = 5,500 (36% polymorphs. 64% lymphocytes)
• Platelet count = 1,24,000/cumm
• Hypokalemia
• S.creatinine, SGOT, SGPT = Normal
• Serum albumin = 1.8 gm/dl which decreased to 1.1 gm/dl after 15 days
• Total proteins = 3.9 gm/dl
• Blood gases = No acidosis
• CSF = Normal
• Prothrombin time and Partial thromboplastin time = Deranged
• Urine routine = Normal
• Urine electrolytes = Normal
• Stool = Normal

The child was treated with IV antibiotics for sepsis but succumbed after 15 days of illness.

What could be the possible underlying disease?

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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