HIV paediatric case studies: Case 8 – Masha

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.

7-year-old Masha has been brought to hospital as an emergency with meningitis, malaria, acute anaemia and a serious cough. Her history shows a series of missed opportunities over ART initiation. The film follows her 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. Editable versions for adapting to different settings can be obtained from info@picturinghealth.org.

Teaching points:
Initiating Treatment
TB, Meningitis and other Opportunistic infections
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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