HIV In Children
 
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Specialist Answers
Question
A baby born via LSCS, normal APGAR, immediate cry, normal n healthy term AGA develops jerky respiration at 15 days of age, as if to inhale air through the mouth pulling it in by the tongue, mother comes at 1 mo of age with the complaint of decreased oral feeding,O/E- Pierre Robin sequence, poor neonatal reflexes, hypotonia, spalding of skull bones, head circmference at birth 34.5 cm, no increase, and lethargy. Investigations - CXR normal, echo normal n metabolic panel normal. (H/o death of a normal 3 yr old sibling 3 yrs back - undiagnosed - developmental regression for 4-5 mo before death - mitichondrial myopathy??)Present 1 mo old baby on full feed through NG tube and occupational therapy to improve swallowing and muscle tone - improvement in tone and activity noticeable since beginning of OT since 5 days, but jerky respiration persists ...DIAGNOSIS AND THERAPY?
Answer
Since the child has retrognathia, poor head growth and hypotoia, rule out a genetic disorder. A karyotype would be advisable.
 
 
 
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