A 22 year old female, who was diagnosed as HIV positive 18 months ago and has been on antiretroviral treatment since diagnosis. Although she had been doing well she recently started complaining of nausea and abdominal pains.

Acknowledgement
This case study was kindly provided by Dr Harry Moultrie, Director of Enhancing Children’s HIV Outcomes (ECHO), University of the Witwatersrand and Dr Monica Mercer from Immunopaedia