Title: Lymphadenopathy, pneumonia, and HIV-a common trio, an uncommon outcome.

POPLINE Document Number: 277004

Author(s):

Mosam A
Goga Y
Thejpal R
Cassal E
Page T

Source citation:

Lancet, 2005 Jan 15;365:266.

Abstract:

In August, 2002, a 4-year-old African child presented with neck swelling. He had large, tender cervical lymph nodes, generalised lymphadenopathy an left lower lobe bronchopneumonia. A Mantoux test was negative. Consent for HIV testing was declined by his mother and he was lost to follow up after a course of antibiotics. In January, 2003, he presented with cough, weight loss, and diarrhoea. His mother was being treated for pulmonary tuberculosis (TB). He had oral thrush, generalised lymphadenopathy, 3 cm hepatomegaly, right lower lobe consolidation, and a positive (13 mm) Mantoux test. His haemoglobin was 7.0 g/dL and he was HIV-1 seropositive. Gastric washings were negative for acid fast bacilli. In the setting of generalised lymphadenopathy, a positive Mantoux, and a tuberculous contact, he was started on anti-TB drugs an augmentin. (excerpt)

Keywords:

South Africa
Research Report
Case Studies
Clinical Research
HIV Positive Persons
Child
HIV Infections
Complications
Pneumonia
Laboratory Examinations and Diagnoses
Africa, Southern
Africa, Sub Saharan
Africa
Developing Countries
Studies
Research Methodology
Viral Diseases
Diseases
Youth
Age Factors
Population Characteristics
Demographic Factors
Population
Pulmonary Effects
Physiology
Biology
Examinations and Diagnoses