Case of the Week
Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
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November 23, 2015
A 5-year-old girl with congenital HIV infection and multiple episodes of pneumonia. At age 1 she presented with slowly progressive tetraparesis. Neurologic examination showed increased deep tendon reflexes, bilateral clonus, and bilateral Babinsky sign. Head circumference was normal. At age 2 she stopped walking without assistance.