A 2-year-old boy presented with progressive distension of the abdomen, along with poor weight gain for 3 months. On examination, he had bilateral non-tender parotidomegaly (figure 1A,B), grade II clubbing (figure 2A), generalised lymphadenopathy, severe wasting and stunting, along with firm hepatomegaly. Examination of the respiratory, cardiovascular and central nervous system was unremarkable. He was found to be seropositive for HIV by ELISA. His CD4 count was 1194/mm3. Both mother and father were seropositive for HIV. A chest X-ray revealed bilateral reticular infiltrates (figure 2B). Workup for tuberculosis, cytomegalovirus and Pneumocystis jiroveci was negative. Screening for other opportunistic infections was also negative.
展开▼
