PEPFAR Success Stories
UTH – PEPFAR Supported ART Clinic
JB was only 12 years old when he was
diagnosed as HIV positive. He was first brought to University Teaching
Hospital (UTH) in Lusaka after having two weeks of severe headaches and
vomiting. After he was admitted, JB’s health quickly degenerated. A
simple blood sample determined that JB had malaria. But despite the
malaria treatment JB received, the left side of his body became
paralyzed after five days of taking the malaria medication. Soon after
the paralysis, JB fell into a coma. Two weeks after JB was
admitted to UTH, he was tested for HIV. JB’s test results came out
positive. Soon after running additional tests, the UTH medical staff
determined that JB had a rare and unusual diagnosis of tuberculoma with
TB meningitis. JB was immediately started on appropriate medication and
his progress was constantly monitored by UTH staff. Despite the
efforts to fight the TB, JB developed frequent convulsions and irregular
movements in his arms and legs. He remained in a coma for three
months. JB’s initial CD4 count, when diagnosed with HIV, was 222
cells/ul – far below a healthy CD4 count, which is normally between
800-1500 cells/ul. JB was started on antiretroviral therapy (ART) after
nearly three months in the hospital. When JB began ART, he was
only 48.5 lbs at a height of 4 foot, 1 inch. One year later JB had
gained over 15 pounds and grew 2 more inches; more importantly, his CD4
count had risen to 884 cells/ul, well within the normal range. Since
his hospitalization, UTH staff have closely followed JB’s health
through the specialized ART follow-up clinic supported by the U.S.
President’s Emergency Plan for AIDS Relief (PEPFAR). After extensive
physical therapy, JB is now back in school repeating the fourth grade. Looking
at JB now, one would never know JB was ever ill. JB’s doctors joke with
him saying that the only long-term effects from his recent illness are
his excessive smiling and laughing. His mother remarked, “I thought he
was going to die. It is unbelievable that he can walk!”