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.
Infectious Diseases
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.
Failure to thrive despite appropriate treatment
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.
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.
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...
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 ...