HIV paediatric case studies: Case 4 – Wongani

Wongani is a 22-month-old boy who is brought into hospital very sick, a month after starting treatment (ART). His history shows a series of missed opportunities as well as his struggle to recover. 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
Severe Kwashiorkor and IRIS
TB and other opportunistic infections
Impact of ART

Download supporting notes

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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