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A 9 year old girl presents with body swelling, shortness of breath and backache

A 9 year old girl presents with a one month history of generalised body swelling associated with shortness of breath and backache. Two and a half weeks previously the patient had been admitted to her local hospital for a similar episode.

 
 
 
 
 
 
International Union of Immunological SocietiesUniversity of South AfricaInstitute of Infectious Disease and Molecular MedicineElizabeth Glazer Pediatric Aids FoundationStellenbosch University