International Journal of STD & AIDS > Volume 20, Number 1 > Pp. 63-64

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Case reports

Chronic knee stiffness and swelling in a Zimbabwean adolescent

N Mangeya MBChB ^*, A T Mafukidze MBChB ^*, R Makunike-Mutasa M MedSci FRCPath , A Makoni MBChB MCh ^*, R F Miller FRCP   , E L Corbett PhD MRCP  ^** and R A Ferrand MSc MRCP  ^**

^* Harare Central Hospital, Avondale, Harare; Department of Pathology, University of Zimbabwe, Harare, Zimbabwe; Centre for Sexual Health and HIV Research, Research Department of Infection and Population Health, University College London; London School of Hygiene and Tropical Medicine, London, UK; ^** Biomedical Research and Training Institute, Causeway, Harare, Zimbabwe

Correspondence to: Professor R F Miller, Centre for Sexual Health and HIV Research, Research Department of Infection and Population Health, University College London, Mortimer Market Centre (off Capper Street), London WC1E 6JB, UK Email: rmiller{at}gum.ucl.ac.uk

A 12-year-old Zimbabwean girl presented with tuberculous monoarthritis. She was moderately wasted, stunted and sexually immature. These clinical findings lead to the diagnosis of underlying HIV infection, which was thought to have been acquired from mother-to-child transmission.

Key Words: HIV infection • tuberculosis • adolescent • arthritis • stunted growth

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