HIV transmission through breastfeeding: still possible in developed countries.

Abstract:

:We describe here the case of a 13-month-old boy who acquired HIV infection postnatally through breastfeeding in a developed country in 2012. His mother had regular pregnancy follow-up and was found to be seronegative for HIV on 2 consecutive screening tests (during pregnancy and just after delivery). However, 1 year later, diagnosis of HIV infection arose in both of them after a pediatric emergency department visit for bronchitis when unexplained hepatosplenomegaly and inflammatory syndrome were noted. The negative maternal viral load found just after delivery confirmed that the mother's seroconversion occurred postnatally, which allowed for active HIV transmission during lactation and lack of the efficient preventive measures that have implemented in Belgium for years. We discuss this uncommon but still existing mode of HIV transmission in industrialized countries and highlight the importance of implementing new targeted health education interventions in addition to constant clinicians' awareness.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Blumental S,Ferster A,Van den Wijngaert S,Lepage P

doi

10.1542/peds.2013-3022

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

e875-9

issue

3

eissn

0031-4005

issn

1098-4275

pii

peds.2013-3022

journal_volume

134

pub_type

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