A two year 1 month old boy who has been on TB treatment and antiretroviral therapy for the past 9 months presents with failure to thrive despite adherence and nutritional counseling.
Clinical Case Studies
Right Axillary Swelling
On 18th July 2006, 6 weeks after introduction of ARVs, an 11 month old baby presented with a one-week history of a right axillary swelling, 2.5cm in diameter noted to be indurated, hard, tender and without fluctuation. By 24th July 2006, the right axillary mass had rapidly enlarged to a size of approximately 4x3cm.
Declining CD4 count, despite viral suppression?
A 22 year old female, who was diagnosed as HIV positive 18 months ago and has been on antiretroviral treatment since diagnosis. Although she had been doing well she recently started complaining of nausea and abdominal pains.
25 year old female presents with persistent flu-like symptoms
A 25 year old female presents to her primary healthcare clinic complaining of flu-like symptoms which consist of a fever, headache, myalgia, abdominal pain, nausea and fatigue.
A sudden turn of events after successful therapy
HIV positive 7 year old female, classified as WHO Stage III. She has been on antiretrovirals for 9 months. She presents with a moderate pyrexia and severe weakness and ...
Defaulted treatment
This patient is a 15 year old girl, who is presumed to have been perinatally infected with HIV. She is classified as WHO stage III, and is aware of her status. She is a maternal orphan, her mother having passed away 4 years previously.
A case of persistant hectic fever
Mr GH was a 59 year old factory worker from Cape Town. He presented to GSH with a 2 week history of fever, rigors, weakness and a fine maculopapular rash. He was also noted to have an ulcerating papule on his left forearm. He had previously been well and there was no...
A four year old with immunodeficiency
A severely undernourished 4-year-old girl is referred to the paediatric outpatient clinic for recurrent anaemia, an erythematous rash on her face and trunk and accompanying hepatosplenomegally. The child was born term, normal vaginal delivery.
Young girl with recurrent history of mycobacterial disease
A 9 year old girl of mixed racial ethnicity with a recurrent history of mycobacterial disease presents to a tertiary hospital with a persistently painful, swollen left ankle responding slowly to indicated treatment. She has no other pain...
Severe anaemia in HIV positive child
A 5 ½ year old male child is referred from an HIV treatment clinic to the paediatric department at his local hospital because he was noted to be severely anaemic at his last visit. HISTORY: TM is a 5½ year old boy who was diagnosed as HIV positive at his ...