HIV paediatric case studies: Case 11 – Gertrude

These interactive teaching videos are designed to copy the way that clinicians learn. Topics covered in this set of films include early infant diagnosis, ART initiation, opportunistic infections, drug reactions and treatment failure.

Gertrude is a critically ill 5-year-old girl, who comes into hospital with severe kwashiorkor and tests HIV positive. Her mother tests positive at the same time. These films follow children over time, recording clinic visits or admissions to hospital, stopping to ask questions whenever treatment decisions need to be made. Suggested answers are contained in accompanying notes, which can be downloaded below. Editable versions for adapting to different settings can be obtained from info@picturinghealth.org.

Teaching points:
HIV diagnosis in children
Initiating Treatment
Severe Kwashiorkor
Opportunistic infections

Informed consent was obtained from carers, names were changed and the faces of children over three were hidden. The videos are licensed under a creative commons licence for educational purposes only. Permission must be obtained for other uses.

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