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A 4-year-old HIV-positive girl who had recently migrated from Kenya presented with chronic otitis media and poor growth. Her viral load was 139 000 copies/ml with CD4 lymphocytes 1050×109/ml (15%). After resistance testing and education through a Swahili interpreter, she started abacavir 150 mg am/300 mg pm, lamivudine 75 mg am/150 mg pm and lopinavir/ritonavir 100/25 three tablets twice daily (with translated fact sheets and colour-coded medicine bottles). After 4 weeks her viral load …
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