
This patient is a 15 year old girl, who is presumed to have been perinatally infected with HIV. She is classified as WHO stage III, and is aware of her status. She is a maternal orphan, her mother having passed away 4 years previously. She is currently in the care of an aunt who receives her Care Dependency Grant (CDG) on her behalf. They live in a hostel, with inadequate access to good nutrition and her personal safety is at risk.
Acknowledgement
This case study was kindly provided by Dr Claire Egbers from the Wits Paeds HIV Clinics.
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History
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Differential Diagnosis
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Examination
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