12 yr girl,HIV +,family H/o TB +, had symptoms suggestive, had pulm.infiltrates and abd.LNpathy,FNAc of which showed AFB +. CD4 was 202,sr.albumin was 1.8. chld was also started on efavirenz based ART. 3 months after starting HRZE child ahs not shown any improvement, has developed ascites and pedal edema. present sr.alb is 1.6. ascitic fluid protein is 136 mg and there are 160 cells 80% lymphocytes. what should be further management of this child ?
|
