HIV paediatric case studies: Case 13 – Flora

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.

Flora is a five-year-old girl, who has defaulted on ART. She comes into hospital with a severe swelling in her mouth caused by an infection in her gum. She is also malnourished. 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:
Early infant diagnosis and ART initiation
Use of CD4 and Viral Load
Adherence

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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