4th Pediatric Infectious Diseases Conference
 
 
Home  Back   ISSN 0973 - 0958
 
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Specialist Answers
Question
A 12 year old female, HIV positive, presented with progressive abdomen distention since a year and severe short stature. No history s/o CNS, CVS or hematological system involvement. h/o admission for 7 days at 6 yrs of age for fever(details not available). Father died of kochs 5 yrs back. Mother died postpartum younger sib also expired. Patient is severely short statured height age-6yrs wt 17 kg. huge (17cm) spleen. Left lobe liver palpable 5 cms in mid sternal line. hb 6, p/s-hypo micro,wbc and plt--wnl. bili 1.3.bone age >12yrs. osteopenia on X-ray. What working diagnosis to keep in this case?? How to investigate further?
Answer
HIV itself can lead to short stature and delayed puberty due to malnutrition, growth hormone deficiency and thyroid dysfunction and also due to other opportunistic infections. Rule out other co-infections such as Hepatitis B and C. Also rule out liver disease and portal hypertension. Get her CD4 counts done and if low start on ART.
 
 
 
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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
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