Page 86 - Children Bookt.pdf

Z& " Systemic illness usually with Positive microscopy
disseminated TB prolonged showing AFB or
fever, night sweats, weight loss. culture of
Clinical Mycobacterium
features of organs involved, e.g. tuberculosis
sterile from blood or other
pyuria, pericarditis, ascites, relevant specimen
pleural
&
effusion, meningitis, arthritis, BAL. Biopsy and
orchitis histology
Kaposi sarcoma Typical appearance in skin or Macroscopic
&

appearance or by
%
*
patches with a pink or blood- –
6
bruise lesions seen on
colour, skin lesions that usually bronchoscopy or
develop endoscopy;
into nodules –
lymph nodes,
viscera or lungs by
palpation or
radiology;
–
CMV retinitis or CMV Retinitis only
$
infection CMV retinitis may be diagnosed required for other
affecting another by sites. Histology or
organ, with onset at
&

* CMV demonstrated
age >1 month progressive in CSF by culture or
%

$
DNA-PCR
%
and scotoma; typical eye lesions
on

& ¥
discrete patches of retinal
whitening
with distinct borders, spreading
centrifugally, often following
blood
vessels, associated with retinal
vasculitis, haemorrhage and
necrosis

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