The presence of HIV infection in an infant or child may go unrecognized until the patient presents with clinical signs and symptoms. The presence of one or more of these findings should prompt a consideration of the diagnosis.


Presenting findings may include:

(1) chronic or recurrent pulmonary infections

(2) chronic or recurrent bacterial infections at other sites

(3) recurrent sepsis

(4) oral thrush

(5) chronic or recurrent diarrhea

(6) lymphadenopathy

(7) hepatosplenomegaly

(8) failure to thrive

(9) developmental delay

(10) encephalopathy

(11) delivery weight small for gestational age

(12) thrombocytopenia

(13) enlarged salivary glands, especially the parotid glands

(14) infection with opportunistic organisms

(15) Kaposi's sarcoma

(16) malignant lymphoma

(17) signs of immunodeficiency AND hypergammaglobulinemia

(18) severe dermatophyte infection

(19) signs of malnutrition and/or vitamin deficiency

(20) alopecia

(21) atopic, eczematoid or exanthematous rash


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