HIV paediatric case studies: Case 4 – Wongani

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.

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

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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