Saving the third generation from HIV; first case report in Sri Lanka

A 20-year-old unmarried HIV positive female patient presented to the HIV clinic, Colombo with oral candidiasis, generalized pruritic papular eruptions (PPE), weight loss and intermittent fever for 6 months’ duration. Her CD4 count was 50 cells/μl. This patient was first found to be HIV antibody positive at the age of 8 years, when she was screened due to her mother’s HIV positive status. Following the presentation, patient was started on ART in December 2010 and continued for 3 years. After that the patient defaulted for about 3 months and re-attended the clinic. At that visit she was pregnant with 20 weeks of gestation. Her partner was HIV negative. Later the patient gave birth to an HIV negative boy with the support of the national programme on Prevention of Mother-to-Child Transmission of HIV (PMTCT) in Sri Lanka. Mother of the index patient and the index patient represent the 1st and 2nd generation while the third generation infection was prevented with PMTCT intervention.

Sri Lanka Journal of Sexual Health and HIV Medicine Vol.1 2015: 33-36