ISSN 0973 - 9289

SEPTEMBER 2019 NEWSLETTER

Newsletter

2019

September

September 2019 Newsletter

GRAND ROUNDS

A 10 years old girl born of non-consanguineous marriage was referred by the pediatrician in view of a positive HIV rapid test. She had presented to the pediatrician with short stature noticed since 6 years of age and lump in left side of abdomen. There was no jaundice or blood transfusion required anytime. There were no urinary complaints. Her milestones were normal. On examination, height was 105 cms, weight was 18.6 kg with anemia. She had no dysmorphic features. On systemic examination, she had splenohepatomegaly. Other systems were normal. Blood pressure was normal. Investigations are depicted below:
• Hemoglobin = 7.5 gm/dl, WBC = 6700/cumm (30% polymorphs, 63% lymphocytes, normoblasts 7%), Platelet = 93,000/cumm
• Bilirubin = 0.5 mg/dl, SGOT = 37 IU/L, SGPT = 12 IU/L, total proteins = 7.2 mg/dl, Albumin = 4.2 gm/dl
• Ultrasound abdomen = Splenohepatomegaly
• HBsAg, HIV ELISA - Positive
• X-Ray – see image

What is the diagnosis?

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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