© 2003 BMJ Publishing Group & Royal College of Paediatrics and Child Health
CASE REPORT
Bowel obstruction in an infant with AIDS
1 Division of Paediatric Surgery, University of the Witwatersrand, Johannesburg Hospital, South Africa
2 Department of Histopathology, Lancet Laboratories, Richmond, Johannesburg, South Africa
Correspondence to:
Correspondence to:
Dr G Pitcher, PO Box 413213, Craighall, Johannesburg 2024, Republic of South Africa;
pitchmax@icon.co.za
Accepted 3 December 2002
Keywords: AIDS; bowel obstruction
| The first 150 words of the full text of this article appear below. |
AIDS accounted for approximately one quarter of all deaths in South Africa in 2000 and has become the country’s single biggest cause of death.1 Paediatric HIV infection is now a common cause of admission to hospital and a major contributor to childhood mortality.2 A recent study reported that 60% of admissions to an academic hospital in Durban (Kwa-Zulu Natal) were infected with HIV.3 We report a case of intestinal obstruction in an infant with HIV infection, the cause of which was only diagnosed at postmortem examination.
A 2 month old female presented with a three day history of constipation, anorexia, and progressive abdominal distension. The child had been a full term, normal vaginal delivery to an otherwise well mother. Examination revealed a mildly dehydrated baby with a grossly distended but soft abdomen; no masses were palpable. Abdominal x ray examinationshowed multiple distended loops of small bowel, ultrasound examination was non-diagnostic,
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