This document summarizes the medical history and treatment of a 19-year-old female patient living with HIV. She was started on multiple ART regimens as a child, including Stocrin, Varidex, and Zerit, and later Triomune 30, which failed. She developed side effects including pancreatitis after being switched to a second line regimen including Kaletra. Multiple switches were required due to toxicity and resistance issues. Over time her health stabilized on a regimen including TDF, AZT, and Aluvia, though adherence was poor. Managing pediatric HIV treatment long-term in resource-limited settings presents many challenges.

1. N.G. Registration No.1441

18. Laboratory results Date CD4 % CD4 count Viral Load 15/8/2003 4.8 133 04/2/2004 3.7 44 134,256 23/6/2004 8.3 141 31/8/2004 9.8 117 14/2/2005 12.6 177 < 400 23/8/2005 15.9 262 08/2/2006 24 306 25/8/2006 26 342 22/2/2007 27 468 22/8/2007 26 307 20/2/2008 23 233 < 400 27/8/2008 25 299 24/2/2009 22 240 18/8/2009 29 200 < 40

19. WAYFORWARD??

22. THANK YOU FOR YOUR PARTICIPATION