Praveen R Shahapur1, Indira Bairy2. 1. Professor, Department of Microbiology, BLDE University's Shri.B.M.Patil Medical College Bijapur, Karnataka, India . 2. Professor, Department of Microbiology, Director Student Affairs, Manipal University , Manipal, India .
Abstract
BACKGROUND: Karnataka, being "High Prevalent State" of southern India, the HIV infection among antenatal women has crossed 1%. There are very few reports available with CD4 count and stage wise clinical spectrum among children. The clinical spectrum among HIV infected infants and children vary in different areas of the world. Hence it is important to know the spectrum of opportunistic infections and their respective CD4 count among HIV infected children of our locality. MATERIALS AND METHODS: The opportunistic infections among 31 paediatric seropositive patients were evaluated. These all patients were classified as per CDC guide lines into stage I, stage II, and stage III based on CD4 counts of > 1000cells/μl, 500-999 cells/μl,<500cells/μl respectively. The opportunistic infections were diagnosed by standard laboratory investigations. Clinical spectrum presented by each stage children was documented. RESULTS: Children in stage I were 5(16.1%),stage II 14(45.1%) and stage III 12(38.7%). Oral candidiasis (29%) was the commonest, followed by recurrent respiratory tract infection (25.8%), tubercular lymphadenitis (16.1%) and chronic diarrhoea (12.9%). CONCLUSION: The present study showed the children with higher CD4 count had few infections and children with lower CD4 count presented with multiple opportunistic infections. This study also showed vertical transmission as the sole mode of transmission.
BACKGROUND: Karnataka, being "High Prevalent State" of southern India, the HIV infection among antenatal women has crossed 1%. There are very few reports available with CD4 count and stage wise clinical spectrum among children. The clinical spectrum among HIV infectedinfants and children vary in different areas of the world. Hence it is important to know the spectrum of opportunistic infections and their respective CD4 count among HIV infectedchildren of our locality. MATERIALS AND METHODS: The opportunistic infections among 31 paediatric seropositive patients were evaluated. These all patients were classified as per CDC guide lines into stage I, stage II, and stage III based on CD4 counts of > 1000cells/μl, 500-999 cells/μl,<500cells/μl respectively. The opportunistic infections were diagnosed by standard laboratory investigations. Clinical spectrum presented by each stage children was documented. RESULTS:Children in stage I were 5(16.1%),stage II 14(45.1%) and stage III 12(38.7%). Oral candidiasis (29%) was the commonest, followed by recurrent respiratory tract infection (25.8%), tubercular lymphadenitis (16.1%) and chronic diarrhoea (12.9%). CONCLUSION: The present study showed the children with higher CD4 count had few infections and children with lower CD4 count presented with multiple opportunistic infections. This study also showed vertical transmission as the sole mode of transmission.
Entities:
Keywords:
CD4 Count; Clinical spectrum; Paediatric HIV; Southern India
Authors: K E Tanaka; W C Hatch; Y Kress; R Soeiro; T Calvelli; W K Rashbaum; A Rubinstein; W D Lyman Journal: J Acquir Immune Defic Syndr (1988) Date: 1992
Authors: Oliver Barry; Jonathan Powell; Lorna Renner; Evelyn Y Bonney; Meghan Prin; William Ampofo; Jonas Kusah; Bamenla Goka; Kwamena W C Sagoe; Veronika Shabanova; Elijah Paintsil Journal: BMC Infect Dis Date: 2013-10-13 Impact factor: 3.090