Four weeks after starting ARVs an 11 month old baby presented with a one-week history of a right axillary swelling which was found to be 2.5cm in diameter, hard, tender and non-fluctuant. Six days later the mass had enlarged to a size of approximately 4x3cm.
Clinical Case Studies
A case of a 10 year old boy with a 3 week history of diarrhoea, vomiting and cough
A 10 year old boy presents with a 3 week history of weight loss, diarrhoea, vomiting and a cough. No toxin ingestion has been noted and the family denies any use of traditional medicines.
A 10 year old girl with a hard palate defect
A 10 year old girl recently diagnosed with HIV (WHO stage 4), presents with a 12 day history of diarrhoea, vomiting, difficulty swallowing and abdominal cramps. She has remained afebrile throughout her illness. Six months ago she had been admitted...
Case of sudden onset of fever, rash and neck pain
A previously healthy 6–year-old boy is brought to the emergency room with a 3-day history of fever, neck stiffness and a one day history of a generalised maculopapular rash.He has been complaining of nausea but no vomiting...
17 year old male with fever and decreased level of consciousness
A 17 year old adolescent presents to a refugee camp infirmary obtunded. He has been febrile for the last 4 days and has been complaining of back pain and stomach aches accompanied with diarrhoea.
Eight month old boy with recurrent infections
An eight month old boy presented with failure to thrive and recurrent infections including dissemination of his BCG vaccination. HIV ELISA test was negative. 8 months old: child presented with failure to thrive, recurrent infections and dissemination of his BCG ...
Two year old with spiking fevers and depressed level of consciousness
A 2 year old boy presented to a district hospital with decreased oral intake, listlessness and fever. On arrival he was adequately resuscitated but continued to have spiking fevers and a depressed level of consciousness.
A case of fever and general malaise
A 17 year old male presents to the hospital emergency room with a one week history of headache, fever, sore throat, painful swellings in the neck and muscle aches. He recently travelled to Mozambique and is requesting a malaria test. Mr L. travelled to Mozambique...
A case of decreased joint function, fever and rash
A 7 year old girl presented to her local hospital for the second time in 3 months with arthralgia, a migratory skin rash and fever for 5 days. She was admitted and within 2 days...
3 TB Vignettes
A 20-year-old woman, in her first trimester of pregnancy, presents to the ante-natal clinic (ANC) for routine care. After counseling she volunteered for HIV testing and was found to be HIV positive. She is now enrolled in the pregnancy HIV clinic for antenatal care specific to her needs.