CASE REPORTS

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CASE REPORTS
Case - 1
Mr. S..S, aged about 25 years uneducated
agriculture labor lives 30 kms away from the
hospital presented on 07/03/2006 with H/O
fever Generalized lymphedinopathy since 2
months H/O exposer to CSW 3 years back No H/O
blood transfusion / surgery. On examination
Febrile, anemic with generalized
lymphedinopathy B.P 100 / 70 , P.R 96 / min
R.R 22 / min. Other systemic and genital
examination normal. Investigation reviled H.b 9
grams spot test for HIV and western blot test
positive CXR-PA-normal. After tharough
counseling and written consent patients
started on NONI health enhancer. Patients could
not afford anti-retro viral medicines because of
poverty. Improvement with in 15 days -
Sense of well being - Good sleep
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Improvement with in 1 month - Skin
completion improved - Appetite increased
- Weight increased by 1 kg Improved with
in 3 months - Increased weight 2.5
kgs - Lymphnodes size decreased by
50 Viral load brought down by 10,000 from
initial load of 1,00,000 CD4 count as increased
to 204 from initial reading 153 There is
increase of total lymphosite count by 2100
initial of 4140 Improvement with in 6
months - Weight gain by 5.5 kgs -
CD4 count 296 viral load 70,000 - Patient
feel much better then before.
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Case 2
Mrs. U. a, aged 45 housewife, widow came to the
hospital on 25/04/2006 with H/O weakness, loss of
weight since 2 months. And fever past 1 month.
Husband was HIV positive and died 2 months
back.No H/O of blood transfusions / surgery
On examination patient was pale, thin built
with mild generalized lymphedinopathy BP 110/70,
PR 86/min. R.R 16/min, weight 47 kgs. Systemic
examination No significant findings
noted. Investigations H.b 9.4 grams , spot
test for HIV positive W. Blot positive , CD4
count 95, viral load 5,00,000 total lymphocyte
count 2930 / cmm. After counseling and written
consent NONI health enhancer was started on the
patient.
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Improvement with in 15 days - Developed
itching. - Not much clinical changes
Improvement with in 1 month - No itching
- Well being - Good sleep - Weight
gain by 0.5 kg Improvement with in 3
months - Feeling happy - Weight gain 2
kgs - Good appetite - Hb increased to 10.5
grams - TLC 9240 - CD4 count increased by
10.5 (105) - Viral load dropped to 50,000
from 5,00,000
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Case 3
Mrs. V.a. aged 35 years servant maid, came to the
hospital on 10/03/2006 with complaints of fever
on and off loose motions and weight loss of 4
months duration. Husband died of HIV 2 years
back. No blood transfusion or no H/O
surgery. General examination Pallor, Angular
stomatitis, scabies, Tinea infection over the
skin. BP 100/60 mmHg, PR 100/ min, R.R 20/min
System examination Respiratory system lungs
occasion crupts CVS, CNS, GIT
normal Investigations Hb 7.4, ESR 45, spot
test HIV and W.Blot tests are positive. CXR
PA increased Hila on both side. Viral load
5,00,000 TC 6,500 CD4 count 486 Conformed the
diagnosis counselled the patient, started on
NONI after written consent.
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Improvement with in 15 days - No
change - Mild cough
present Improvement with in 1 month
- Feeling better - Appetite
increased - Cough present
- Fever present Improvement with in 3
months - Viral load same
- CD4 count 188 - Cough present
- Fever present CXR PA same, Montoux
positive, Hb 7 grams, ESR 60/1st hour, sputum for
AFB negative. Patient was kept on ATT. Patient
improve her general condition after starting of
ATT.
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Improvement with in 6 months -
Appetite good - Skin complexion
increased - Hb 9 grams
- ESR 50 - Viral load 4,00,000
- CD4 count 235
-Weight gained 3 kgs (initial 45 kgs)
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Case 4
Mrs. L.x aged 35 years, agriculture labor, came
to the hospital on 30/05/2006 with the H/O
weakness of 1 month duration. Husband died of
HIV 2 months back. H/O tubectomy 10 years
back. On examination Thin built, mild
lymphedinopathy BP 110/70, PR 80/min, R.R
20/min Systemic generation no significant
Investigations Hb 10.5 grams, CXR PR normal,
spot test, W.Blot positive. Viral load less
then detectable limits, CD4 count 595. After
counseling and written consent NONI food
supplement was given. Improvement with in 15
days - Feeling energetic
- Good sleep
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Improvement with in 1 month -
Weight increased by 0.5 kg -
Good appetite Improvement with in 3 months
- Weight gain by 3 kgs (Initial 44
kgs) - Viral load less then
detectable limits -CD4 count 608
(increased by 2.1)
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Case-5 Mr. P.r aged 29 years, tailor brought to
the hospital on 17/07/2006 with the H/O weight
loss and fever. He is known HIV patient since 5
years and having pulmonary TB for the past 4
months. Using ATT irregularly On examination
thin built individual, pale, LN. System
examination lungs shows crepts on the left base.
Investigations Viral load 1,50,000, CD4 count
- , Hb 9.5 grams, ESR 80 /1st hour CXR PA - PT
After counseling and written consent NONI food
supplement was given along with ATT. Improvement
with in 15 days - Feeling better
-
Appetite increase
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Improvement with in 1 month -
Weight gain by 1 kg (Initial 47 kgs)
- Cough reduced - No fever
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Case 6
Mrs. R.l aged 30 years, labor, presented on
09/05/2006 with H/O fever, weight loss and loose
motions since 3 months. She was diagnosed as HIV
3 years back. Husband died of HIV 1 year
back On examination Thin built with oral and
dermal, candidacies. Temperature 1010 F, PR 104/
min, BP 90/70. RR 22/min System examination No
significant findings Investigations 7.4
grams, ESR 45/1st hour, CD4 count 94, viral
load 8,00,000 CXR PA normal. After counseling
and written consent NONI food supplement was
given.
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Improvement with in 15 days - Feeling
energetic - Appetite increase
- Skin color improved to fair
Patient died because of gastro enteritis with
sever dehydration in a remote village when she
attend a function on 28th day on 07/06/2006