A 6-year-old child with a new diagnosis of perinatal human immunodeficiency virus infection

Perinatal human immunodeficiency virus transmission, while rare in the United States, should be considered in children with a history of recurrent infections, chronic respiratory symptoms and developmental delay. A delayed diagnosis of human immunodeficiency virus in children can lead to significant...

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Main Authors: Kristen G Valencia Deray, Cassie Weyland, Diana Jeang, Gayatri Mirani, Lindsay H Cameron
Format: Article
Language:English
Published: SAGE Publishing 2022-12-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X221144208
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author Kristen G Valencia Deray
Cassie Weyland
Diana Jeang
Gayatri Mirani
Lindsay H Cameron
author_facet Kristen G Valencia Deray
Cassie Weyland
Diana Jeang
Gayatri Mirani
Lindsay H Cameron
author_sort Kristen G Valencia Deray
collection DOAJ
description Perinatal human immunodeficiency virus transmission, while rare in the United States, should be considered in children with a history of recurrent infections, chronic respiratory symptoms and developmental delay. A delayed diagnosis of human immunodeficiency virus in children can lead to significant morbidity and mortality. We present a 6-year-old male who presented for evaluation and management of antibiotic refractory chronic cough and purulent nasal secretions, with a history of recurrent bacterial pneumonias and sinus infections, disseminated varicella zoster, and global developmental delay. He likely had perinatally acquired human immunodeficiency virus. At the time of his human immunodeficiency virus diagnosis, he met the criteria for acquired immunodeficiency syndrome and was ultimately diagnosed with lymphocytic interstitial pneumonia (LIP). Our case illustrates the importance of universal human immunodeficiency virus screening of pregnant women, consideration of human immunodeficiency virus, and the prompt initiation of treatment. We believe this case serves as an important reminder for all medical providers who care for pregnant women and children.
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spelling doaj.art-e316b67527de4750a41f35c425c4ebdc2022-12-22T03:52:27ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2022-12-011010.1177/2050313X221144208A 6-year-old child with a new diagnosis of perinatal human immunodeficiency virus infectionKristen G Valencia Deray0Cassie Weyland1Diana Jeang2Gayatri Mirani3Lindsay H Cameron4Texas Children’s Hospital, Houston, TX, USADepartment of Pediatrics, Baylor College of Medicine, Houston, TX, USADepartment of Pediatrics, Baylor College of Medicine, Houston, TX, USASection of Immunology, Allergy, and Retrovirology, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USATexas Children’s Hospital, Houston, TX, USAPerinatal human immunodeficiency virus transmission, while rare in the United States, should be considered in children with a history of recurrent infections, chronic respiratory symptoms and developmental delay. A delayed diagnosis of human immunodeficiency virus in children can lead to significant morbidity and mortality. We present a 6-year-old male who presented for evaluation and management of antibiotic refractory chronic cough and purulent nasal secretions, with a history of recurrent bacterial pneumonias and sinus infections, disseminated varicella zoster, and global developmental delay. He likely had perinatally acquired human immunodeficiency virus. At the time of his human immunodeficiency virus diagnosis, he met the criteria for acquired immunodeficiency syndrome and was ultimately diagnosed with lymphocytic interstitial pneumonia (LIP). Our case illustrates the importance of universal human immunodeficiency virus screening of pregnant women, consideration of human immunodeficiency virus, and the prompt initiation of treatment. We believe this case serves as an important reminder for all medical providers who care for pregnant women and children.https://doi.org/10.1177/2050313X221144208
spellingShingle Kristen G Valencia Deray
Cassie Weyland
Diana Jeang
Gayatri Mirani
Lindsay H Cameron
A 6-year-old child with a new diagnosis of perinatal human immunodeficiency virus infection
SAGE Open Medical Case Reports
title A 6-year-old child with a new diagnosis of perinatal human immunodeficiency virus infection
title_full A 6-year-old child with a new diagnosis of perinatal human immunodeficiency virus infection
title_fullStr A 6-year-old child with a new diagnosis of perinatal human immunodeficiency virus infection
title_full_unstemmed A 6-year-old child with a new diagnosis of perinatal human immunodeficiency virus infection
title_short A 6-year-old child with a new diagnosis of perinatal human immunodeficiency virus infection
title_sort 6 year old child with a new diagnosis of perinatal human immunodeficiency virus infection
url https://doi.org/10.1177/2050313X221144208
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