• Kelvin Mutize

AN ADOLESCENT LIVING WITH HIV – A SUCCESS STORY FROM TREATMENT FAILURE

Updated: Apr 28, 2020

Introduction



HIV prevelance rates in adolescents are increasing worldwide. This is mostly because of early sexual exposure with multiple partners among adolescents. However, if the infection resulted from vertical transmission (from the parents); discriminatory social stigma and mental health issues have contributed to negatively impact a child's health and quality of life. Moreover, HIV in children leads to depressive and anxiety disorders that significantly hinder development.


This report is of a case of an 18-year-old girl, with underlying HIV infection transmitted from her parents. She was neglected and did not recieve adequate treatment since diagnosis. She was unemployed and had a high probability of treatment failure due to recurrent missed follow-up and medications in previous treatment centre. Her main obstacles were basically her poor social support and broken family psychodynamics. Her initial CD4 counts upon arrival to us is 16 cells with viral load of 177,138.


Rather than referring her to infectious disease centre for drug resistance assessment, we subjected her under our strict follow-up at our health clinic and arranged family meeting to gain back the family support and the patient’s trust towards herself and the treatment. We involved multidisciplinary team including social welfare, psycho-social support and occupational therapist to boost back her motivation. We restarted back the ART with another cART combination of Emtricitabine-Tenofovir and Efavirenz and her condition and parameters improved tremendously together with her compliance.


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