clinical indicator diseases for paediatric HIV infection

AIDS-defining conditions

other conditions where HIV testing should be offered

ENT

• chronic parotitis
• recurrent and/or troublesome ear infections

oral

• recurrent oral candidiasis
• poor dental hygiene

respiratory

• pneumocystis
• CMV pneumonitis
• tuberculosis

• recurrent bacterial pneumonia
• lymphoid interstitial pneumonitis
• Bronchiectasis

neurology

• HIV encephalopathy
• meningitis/encephalitis

• development delay
• childhood stroke

dermatology

• Kaposi "s sarcoma

• severe or recalcitrant dermatitis
• multidermatomal or recurrent herpes zoster
• recurrent fungal infections
• extensive warts or molluscum contagiosum

gastroenterology

• wasting syndrome
• persistent cryptosporidiosis

• unexplained persistent hepatosplenomegaly
• hepatitis B & C infection

oncology

• lymphoma
• Kaposi's sarcoma

hameatology

• any unexplained blood dyscrasia including:
• thrombocytopenia
• neutropenia
• lymphopenia

ophthalmology

• cytomegalovirus retinitis

• any unexplained retinopathy

other

• recurrent bacterial infections (e.g. meningitis, sepsis, osteomyelitis, pneumonia etc.)
• pyrexia of unknown origin