Microbiology 3: HIV Infected Children

Question 1

Which viral skin infection commonly affects children with HIV ?

Answer 1

Molloscum contsgiosum

Question 2

Describe an early indication of HIV in children ?

Answer 2

Chronic swelling of the parotid glands

Question 3

List signs/symptoms of HIV in children ?

Answer 3

Chronic swollen parotid
Molloscum contagiosum skin infection on the face
Lymphadenopathy 
Oral thrush
Dental caries 
Otitis media 
LIP - lymphoid interstitial pneumonitis 
Clubbing 
Shingles in multiple dermatomes 
Encephalopathy 
Failure to thrive

Question 4

Which pneumonia is more common in children with HIV ?

Answer 4

Pneumocystis. Jirovecii

Question 5

Co-infection with which organism can cause blindness in children with HIV ?

Answer 5

CMV

Question 6

Which Malignancy is more common in children with HIV ?

Co-infection with which organism causes this malignancy ?

Answer 6

Kaposi sarcoma

HHV8

Question 7

What is the critical factor that determines transmission of HIV from mother to baby ?

Answer 7

The maternal plasma viral load

Question 8

In twin pregnancy of an HIV infected women is the 1st or 2nd baby more likely to become infected ?

Answer 8

The first baby is 50% more likely to become infected because it sweeps all the secretions off the birth canal as it passes. The second baby moves through more swiftly.