Grand rounds and Teaching Files - Pediatric Oncall
GRAND ROUNDS AND TEACHING FILES
Poor scholastic Performance in an HIV infected girl


You Have to Sign In First.
Click here to Sign In

Clinical Problem:


Ira Shah
Consultant in Pediatric Infectious Diseases and Pediatric Hepatology, Nanavati Hospital and Incharge Pediatric HIV, TB and Liver Clinics, B J Wadia Hospital for Children, Mumbai, India.

Address for Correspondence: Dr Ira Shah, 1, B Saguna, 271, B St Francis Road, Vile Parle {W}, Mumbai 400056.


A 10 years old HIV infected girl on anti-retroviral therapy {ART} consisting of zidovudine {AZT}, lamivudine {3TC} and nevirapine {NVP} for 5 years presented with poor scholastic performance. As per the mother, she had difficulty in understanding simple commands and was not performing poorly in school. On examination, neurological examination was normal. Her IQ test showed borderline IQ. Her MRI brain is depicted in Figure 1. Her CD4 count was 820 cells, cumm and HIV viral load was undetectable. Cerebrospinal fluid {CSF} was normal though HIV PCR could not be done.



What could be the cause of her worsening neurological status_?

Advertisements by :    Septilin by Himalaya Mega-CV by Aristo
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.