Fighting Hiv And Acuteleukaemia Five Years On

Abstract

We report a case of a 19 year old university student diagnosed with HIV and acute lymphocytic leukaemia 5 years ago. He presented with severe anaemia necessitating multiple transfusions at theageof fourteen. Bone marrow aspirate confirmed ALL-L2 and HIV infection was confirmed by ELISA at the same time. He completed his induction, consolidation and maintenance courses successfully with only essential hospital admissions. HAART was initiated soon after initiation of chemotherapy. Initial HAART regimen was D4T/3TC/EFV. He was later changed to TDF/3TC/EFV following D4T lipoatrophy. Clinically he has done well; current CD4 409cells/mm3(25%), VL- 89cp/ml. Bone marrow shows remission for the last 12months