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HIV in children: Symptoms, treatment, and more

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The credentials and contact information reflected here may not be current.</em></p>\n<p><span style=\"font-weight: 400;\">Dr. Joseph Vinetz is an </span><a href=\"https://www.abms.org/board-certification/\"><span style=\"font-weight: 400;\">ABMS board certified</span></a> <span style=\"font-weight: 400;\">infectious disease doctor at </span><a href=\"https://www.yalemedicine.org/doctors/joseph_vinetz/\"><span style=\"font-weight: 400;\">Yale Medicine</span></a> <span style=\"font-weight: 400;\">and a professor of medicine at the Yale School of Medicine, in the section of infectious diseases, department of internal medicine. He is also a research professor in the faculty of sciences and the laboratory of research and development at the Universidad Peruana Cayetano Heredia. His background in the history of medicine informs his perspectives on current emerging epidemic diseases.</span></p>\n<p><strong>Education</strong></p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Yale University, BS</span></li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">University of California San Diego School of Medicine, MD</span></li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">National Institutes of Health, Postdoctoral Fellowship</span></li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Johns Hopkins Hospital, Residency, Fellowship</span></li>\n</ul>\n<p><strong>Certifications</strong></p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">American Board of Internal Medicine &#8211; Internal Medicine</span></li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">American Board of Internal Medicine &#8211; Infectious Disease</span></li>\n</ul>\n<p><strong>Professional Accomplishments</strong></p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Associated investigator of the Alexander von Humboldt Institute of Tropical Medicine at the Universidad Peruana Cayetano Heredia in Lima, Peru</span></li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Conducts research in global health and infectious diseases, focusing on diseases of high consequence such as malaria and leptospirosis</span></li>\n</ul>\n<p><strong>Affiliations</strong></p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https://www.niaid.nih.gov/\"><span style=\"font-weight: 400;\">National Institute of Allergy and Infectious Diseases (NIAID)</span></a></li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https://www.nih.gov/\"><span style=\"font-weight: 400;\">National Institutes of Health (NIH)</span></a></li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https://the-asci.org/\"><span style=\"font-weight: 400;\">American Society for Clinical Investigation (ASCI)</span></a></li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https://aap-online.org/\"><span style=\"font-weight: 400;\">Association of American Physicians (AAP)</span></a></li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https://www.astmh.org/\"><span style=\"font-weight: 400;\">American Society of Tropical Medicine and Hygiene</span></a></li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https://www.idsociety.org/\"><span style=\"font-weight: 400;\">Infectious Diseases Society of America (IDSA)</span></a></li>\n</ul>\n"},"avatar":{"title":"","width":500,"height":500,"src":"https://post.medicalnewstoday.com/wp-content/uploads/2022/01/Joseph-Vinetz-500x500-Bio.png"}}],"id":"mnt-1301190","updateReason":[],"editor":"Maté Jarai","factCheckedBy":"","factCheckers":[],"articleHistory":{"2021-10-29":{"updateReason":[],"authors":"Mary West","editor":"Maté Jarai","copyEditor":"Kate Phelan","medicallyReviewedBy":"Joseph Vinetz, MD"}},"articleDates":{"factChecked":{"date":null,"display":""},"medicallyReviewed":{"date":1635469200,"display":"October 29, 2021"},"published":{"date":1635469200,"display":"October 29, 2021"},"lastUpdates":{"date":1635469200,"display":"October 29, 2021"},"modified":{"date":1635469255,"display":"October 29, 2021"}},"type":"healthfeature","language":"en"},"cesData":{"metaDescription":"Learn about how HIV affects children, including facts about transmission, symptoms, diagnosis, treatment, and the outlook for children with HIV.","title":"HIV in children: Symptoms, treatment, and more","iab_tag_tier_1":[],"iab_tag_tier_2":[],"mpdTags":[{"confidence":0.9989763821663594,"type":"topic_level_1","value":"health"},{"confidence":0.9266788205806471,"type":"topic_level_2","value":"disease_risks_and_transmission"},{"confidence":0.7757899053034054,"type":"topic_level_3","value":"stis_and_stds"},{"confidence":0.5418393873663157,"type":"topic_level_4","value":"hiv_overview"},{"confidence":0.7030993291187658,"type":"entity","value":"hiv"}]},"relatedStories":[{"title":"What one man's 'escape' from Alzheimer's might tell us about the disease","link":"https://www.medicalnewstoday.com/articles/what-one-mans-escape-from-alzheimers-might-tell-us-about-the-disease","thumbnail":"https://media.post.rvohealth.io/wp-content/uploads/sites/3/2025/02/brain-scans-gloved-fingers-732x549-thumbnail.jpg","summary":"A 75-year-old man with a genetic predisposition for Alzheimer’s has yet to show signs of the disease. 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class="css-zya54r"></span></div><div id="dlb1__slot" data-adbridg-ad-class="dlb1" data-ad="true" class="css-1jpwf16"></div></div></aside></div><aside data-testid="mobile-leaderboard" class="css-pdceuf"><div class="css-11egx89"><button class="icon-hl-close-thick css-1pr9u9e"></button><div data-empty="true" class="css-1fteite"><div class="css-1hjaa0k"><span class="css-zya54r"></span></div><div id="mlb1__slot" data-adbridg-ad-class="mlb1" data-ad="true" class="css-bcus5s"></div></div></div></aside><div data-placement="subheader"></div><div><div class="css-m260rd"><div data-article-body="0" class="css-1h1rean css-1kdolwm"><div class="css-z468a2"><h1>What to know about HIV in children</h1><div data-preamp="social-proof-lessons"></div><div data-testid="byline"><section data-testid="byline" class="css-1r4r6jy"><div class="css-1q67gt9"><div class="css-1edxg1f"><img src="//i0.wp.com/post.medicalnewstoday.com/wp-content/uploads/2022/01/Joseph-Vinetz-500x500-Bio.png?w=105&amp;h=105" alt=""/></div></div><div><span><span><a class="css-90fpmc css-ro87dg" target="_blank" rel="noopener noreferrer">Medically reviewed</a> by <a class="css-90fpmc css-ro87dg" target="_blank" rel="noopener noreferrer">Joseph Vinetz, MD</a></span></span> — <span><span><span><span>Written by <a class="css-90fpmc css-ro87dg" target="_blank" rel="noopener noreferrer">Mary West</a></span></span></span></span> <span> on October 29, 2021</span></div></section></div><div><nav class="css-wp9hsz" id="tab-bar-0" data-testid="tab-bar"><ul class="css-wy0i0w"><li class="css-gc7rbi"><a href="#how-hiv-affects-children" class="css-1qfr3bt">How HIV affects children</a></li><li class="css-gc7rbi"><a href="#transmission" class="css-1qfr3bt">Transmission</a></li><li class="css-gc7rbi"><a href="#symptoms" class="css-1qfr3bt">Symptoms</a></li><li class="css-gc7rbi"><a href="#diagnosis" class="css-1qfr3bt">Diagnosis</a></li><li class="css-gc7rbi"><a href="#treatment" class="css-1qfr3bt">Treatment</a></li><li class="css-gc7rbi"><a href="#outlook" class="css-1qfr3bt">Outlook</a></li><li class="css-gc7rbi"><a href="#summary" class="css-1qfr3bt">Summary</a></li></ul></nav><article class="article-body css-d2znx6 undefined"><div data-testid="tabbed-article-section" class="css-12va8w7"><span style="font-size:0;line-height:0"></span><span style="font-size:0;line-height:0"></span><div><div><p class="css-4aeg3z">Doctors encounter challenges is diagnosing HIV in children during the first year of life. Infants may have symptoms such as inadequate weight gain, intermittent diarrhea, and pneumonia. Later, symptoms may involve a broad array of health issues, depending on the severity of the HIV.</p></div></div><div><p>The source of <a href="https://www.medicalnewstoday.com/articles/311323" class="content-link css-90fpmc">HIV</a> transmission in children is <a href="https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-and-children-and-adolescents" target="_blank" rel="noopener noreferrer" class="content-link css-90fpmc">usually</a> the parent who has birthed them. Exposure to the virus may occur in the womb, during childbirth, or when breastfeeding.</p></div><div><div data-preamp="serena-chatbot"></div></div><div><p>Treatment is the same as for adults with HIV ⁠— <a href="https://www.medicalnewstoday.com/articles/323897" class="content-link css-90fpmc">antiretroviral therapy (ART)</a>. If an infant has a severe case of HIV, the risk of death within the first few months <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5384722/" target="_blank" rel="noopener noreferrer" class="content-link css-90fpmc">is high</a></hl-trusted-source> even with treatment. Afterward, the likelihood of death drops quickly, and the long-term risk is low.</p></div><div><p>This article will look at the transmission, symptoms, diagnosis, and treatment of HIV in children. It will also discuss the outlook for children with HIV. </p></div></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="how-hiv-affects-children">How does HIV affect children?</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><div><figure class="css-yhe8zq"><span class="css-rwmw5v"><span class="css-mjp0j9"><picture class="css-16pk1is"><source srcSet="//i0.wp.com/post.medicalnewstoday.com/wp-content/uploads/sites/3/2021/10/HIV-children-mother-shadow-header-1024x575.jpg?w=1575 750w" media="(min-width: 1190px)"/><source srcSet="//i0.wp.com/post.medicalnewstoday.com/wp-content/uploads/sites/3/2021/10/HIV-children-mother-shadow-header-1024x575.jpg?w=1575 750w" media="(min-width: 990px)"/><source srcSet="//i0.wp.com/post.medicalnewstoday.com/wp-content/uploads/sites/3/2021/10/HIV-children-mother-shadow-header-1024x575.jpg?w=1845 879w" media="(min-width: 768px)"/><img src="//i0.wp.com/post.medicalnewstoday.com/wp-content/uploads/sites/3/2021/10/HIV-children-mother-shadow-header-1024x575.jpg?w=1155&h=1528" alt="A shadow of a parent and child who may have HIV." class="css-1jytyml"/></picture></span><hl-share-overlay class="css-1mqo1cs"><a class="css-90fpmc icon-hl-pinterest css-by55vd" target="_blank" rel="noopener noreferrer nofollow" data-event="Any Page|Image Pinterest Click|Icon Clicked" data-element-event="OPEN|CONTENTBLOCK|Any Page|Article Body|BUTTON|Image Widget Pinterest Click|" href="https://www.pinterest.com/pin/create/button/?url=https%3A%2F%2Fwww.medicalnewstoday.com%2Farticles%2Fhiv-in-children&media=https%3A%2F%2Fpost.medicalnewstoday.com%2Fwp-content%2Fuploads%2Fsites%2F3%2F2021%2F10%2FHIV-children-mother-shadow-header-1024x575.jpg&description=HIV%20in%20children%3A%20Symptoms%2C%20treatment%2C%20and%20more" title="Share on Pinterest" data-pin-custom="true" data-share-url="https://post.medicalnewstoday.com/wp-content/uploads/sites/3/2021/10/HIV-children-mother-shadow-header-1024x575.jpg"><span class="css-z1zfa">Share on Pinterest</span></a></hl-share-overlay></span><figcaption class="css-13b3g0x">Zanel De Lange/EyeEm/Getty Images</figcaption></figure></div></div><div><p>HIV is a virus that harms the immune system, impairing the body’s ability to fight <a href="https://www.medicalnewstoday.com/articles/196271" class="content-link css-90fpmc">infections</a> and some types of <a href="https://www.medicalnewstoday.com/articles/323648" class="content-link css-90fpmc">cancer</a>. Since children do not have fully developed immunity, those with HIV become <a href="https://www.pedaids.org/about/about-pediatric-aids/" target="_blank" rel="noopener noreferrer" class="content-link css-90fpmc">more severely ill</a> from common pediatric infections than those who are HIV-negative. </p></div><div><p>Because they cannot fight infections well, children with HIV frequently get the following:</p></div><div><ul><li><a href="https://www.medicalnewstoday.com/articles/inner-ear-infection" class="content-link css-90fpmc">ear infections</a></li><li><a href="https://www.medicalnewstoday.com/articles/307190" class="content-link css-90fpmc">sinus infections</a></li><li><a href="https://www.medicalnewstoday.com/articles/151632" class="content-link css-90fpmc">pneumonia</a></li><li>intestinal illness</li><li><a href="https://www.medicalnewstoday.com/articles/305782" class="content-link css-90fpmc">sepsis</a>, a serious blood infection</li><li><a href="https://www.medicalnewstoday.com/articles/316622" class="content-link css-90fpmc">skin diseases</a></li><li><a href="https://www.medicalnewstoday.com/articles/9276" class="content-link css-90fpmc">meningitis</a>, inflammation of the membrane covering the brain and spinal cord</li></ul></div><div><p>Doctors diagnosed <hl-trusted-source source="Centers for Disease Control and Prevention (CDC)" rationale="Governmental authority"><a href="https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-31.pdf" target="_blank" rel="noopener noreferrer" class="content-link css-90fpmc">87</a></hl-trusted-source> cases of HIV in children younger than 13 in the United States during 2018. </p></div><div><p><hl-trusted-source source="Centers for Disease Control and Prevention (CDC)" rationale="Governmental authority"><a href="https://www.cdc.gov/hiv/group/gender/pregnantwomen/index.html" target="_blank" rel="noopener noreferrer" class="content-link css-90fpmc">That year</a></hl-trusted-source>, 1,544 children in the U.S. were living with HIV from transmission that happened before, during, or immediately after birth. Of these, 60% were African American.</p></div><div><p>Globally, approximately <a href="https://www.pedaids.org/about/about-pediatric-aids/" target="_blank" rel="noopener noreferrer" class="content-link css-90fpmc">1.7 million</a> children under the age of 15 are living with HIV.</p></div></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="transmission">Transmission</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>A <a href="https://www.medicalnewstoday.com/articles/323742" class="content-link css-90fpmc">pregnant person</a> with HIV can transmit the virus to their fetus while it develops in the womb. Transmission from a parent with HIV to an infant may also occur during birth or breastfeeding. Doctors refer to these three routes of HIV spread as perinatal transmission.</p></div><div><p>In the U.S., perinatal transmission is the <a href="https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-and-children-and-adolescents" target="_blank" rel="noopener noreferrer" class="content-link css-90fpmc">most common</a> way children get HIV. Virtually all children contract it through this means, but not every child born to a person with HIV will get the virus.</p></div><div><p>Prior to <a href="https://www.stanfordchildrens.org/en/topic/default?id=aidshiv-in-children-90-P02509" target="_blank" rel="noopener noreferrer" class="content-link css-90fpmc">1985</a>, a small number of children contracted HIV through contaminated blood products. Due to routine screening that began at this time, the risk of transmission through blood is now very low.</p></div><div><p>Additionally, there are no known cases of HIV that have resulted from exposure via:</p></div><div><ul><li>tears</li><li>saliva</li><li>sweat</li><li>casual contact, such as sharing bedding or food</li><li>toilet seats</li></ul></div><div><p><a href="https://www.medicalnewstoday.com/articles/315920" class="content-link css-90fpmc">Learn more about HIV transmission here.</a></p></div></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="symptoms">Symptoms</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Below are <a href="https://www.stanfordchildrens.org/en/topic/default?id=aidshiv-in-children-90-P02509" target="_blank" rel="noopener noreferrer" class="content-link css-90fpmc">common</a> symptoms of HIV in infants and children:</p></div><div><h3>Infants up to 1 year of age</h3></div><div><p>In the first year of life, doctors have more difficulty recognizing HIV. Symptoms in infants may include:</p></div><div><ul><li>delayed physical development, manifesting in inadequate weight gain and bone growth</li><li><a href="https://www.medicalnewstoday.com/articles/324105" class="content-link css-90fpmc">swollen lymph nodes</a></li><li>intermittent <a href="https://www.medicalnewstoday.com/articles/158634" class="content-link css-90fpmc">diarrhea</a></li><li>swollen abdomen</li><li><a href="https://www.medicalnewstoday.com/articles/317970" class="content-link css-90fpmc">fungal infection</a> in the mouth called oral thrush</li><li>pneumonia</li></ul></div><div><h3>Children older than 1 year</h3></div><div><p>Doctors may categorize symptoms in children as mild, moderate, or severe. </p></div><div><p>Mild symptoms include:</p></div><div><ul><li>swollen lymph nodes</li><li>swollen salivary glands</li><li>itchy <a href="https://www.medicalnewstoday.com/articles/317999" class="content-link css-90fpmc">rash</a></li><li>constant or reoccurring ear or sinus infections</li><li>abdominal swelling</li></ul></div><div><p>Moderate symptoms include:</p></div><div><ul><li>inflammation and swelling of lung tissue</li><li>constant or reoccurring diarrhea</li><li>oral thrush that lasts longer than 2 months</li><li>inflammation of the liver</li><li><a href="https://www.medicalnewstoday.com/articles/172179" class="content-link css-90fpmc">kidney disease</a></li><li><a href="https://www.medicalnewstoday.com/articles/168266" class="content-link css-90fpmc">fever</a> that lasts longer than 1 month</li><li>complicated <a href="https://www.medicalnewstoday.com/articles/239450" class="content-link css-90fpmc">chickenpox</a></li></ul></div><div><p>Severe symptoms include:</p></div><div><ul><li>two serious <a href="https://www.medicalnewstoday.com/articles/bacterial-infection-symptoms" class="content-link css-90fpmc">bacterial infections</a> within 1 year</li><li>inflammation of the brain</li><li><a href="https://www.medicalnewstoday.com/articles/151172" class="content-link css-90fpmc">yeast infection</a> in the lungs or digestive tract</li><li>pneumocystis jiroveci pneumonia, the type of pneumonia common in people with HIV</li><li><a href="https://www.medicalnewstoday.com/articles/249141" class="content-link css-90fpmc">tumors</a></li></ul></div></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="diagnosis">Diagnosis</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Doctors diagnose HIV in infants using different means than those they use to diagnose children older than 18 months.</p></div><div><h3>Infants below 18 months</h3></div><div><p>When a person with HIV gives birth, doctors <a href="https://www.stanfordchildrens.org/en/topic/default?id=aidshiv-in-children-90-P02509" target="_blank" rel="noopener noreferrer" class="content-link css-90fpmc">usually</a> order virologic tests for the infant at the following intervals:</p></div><div><ul><li>within 2 days of birth</li><li>after 1 or 2 months</li><li>at 4 or 6 months of age</li></ul></div><div><p>Infants receive an HIV diagnosis when two different blood samples test positive for the virus.</p></div><div><h3>Children older than 18 months</h3></div><div><p>When fetuses develop within the womb, they receive nourishment from the pregnant parent through the placenta. If the pregnant parent has HIV, the placenta also transfers HIV antibodies to the fetus. For this reason, all infants birthed by a parent with HIV will test positive for the antibodies at birth.</p></div><div><p>After birth, antibodies for HIV from the birthing parent can remain in the blood for up to 18 months. Once children are over 18 months old, doctors use the <a href="https://www.medicalnewstoday.com/articles/323901" class="content-link css-90fpmc">HIV antibody test</a> to make a diagnosis.</p></div></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="treatment">Treatment and management</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>The standard treatment for HIV is ART. Practitioners <a href="https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-and-children-and-adolescents" target="_blank" rel="noopener noreferrer" class="content-link css-90fpmc">recommend</a> this for people of all ages, including children. Experts advocate early treatment, as it <a href="https://www.pedaids.org/about/about-pediatric-aids/" target="_blank" rel="noopener noreferrer" class="content-link css-90fpmc">can help</a> children live longer, healthier lives.</p></div><div><p>The dose for children may depend on weight rather than age. Additionally, if a child is too young to swallow a pill, doctors may prescribe the liquid form of ART.</p></div><div><p>Several factors may affect adherence, which refers to taking the medication consistently. For instance, children may refuse treatment due to an unpleasant taste, or side effects may make them reluctant to take it.</p></div></div><div data-testid="tabbed-article-section" class="css-1avyp1d"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="outlook">Outlook</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>Infants who contract HIV in the womb or during birth have a <a href="https://www.unaids.org/sites/default/files/media_asset/FactSheet_Children_en.pdf" target="_blank" rel="noopener noreferrer" class="content-link css-90fpmc">less positive outlook</a> than those who contract it during breastfeeding. They need ART very quickly to prevent death.</p></div><div><p>A <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5384722/" target="_blank" rel="noopener noreferrer" class="content-link css-90fpmc">2016 study</a></hl-trusted-source> found that in the years following the availability of ART, the risk of death declined greatly. However, the likelihood remains high within the first few months after the start of ART in young children with severe HIV. After this period, the rate of death decreases quickly, and the long-term risk is low.</p></div><div><p>The study authors noted that suboptimal adherence to ART threatens these high survival rates. Yet even with good adherence, children continue to have a high likelihood of associated illnesses.</p></div><div><p>Cancer is 5–10 times more common in children with HIV compared with those who are HIV-negative. Infections are another threat, as they are the major cause of death.</p></div></div><div data-testid="tabbed-article-section" class="css-1lmhqiv"><span style="font-size:0;line-height:0"></span><div><h2><div><a class="chartbeat-section" name="summary">Summary</a></div></h2></div><span style="font-size:0;line-height:0"></span><div><p>HIV in children manifests in health conditions that stem from impaired immunity. </p></div><div><p>Children with HIV cannot fight disease-causing microbes well, putting them at a <hl-trusted-source source="PubMed Central" rationale="Highly respected database from the National Institutes of Health"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5384722/" target="_blank" rel="noopener noreferrer" class="content-link css-90fpmc">higher risk</a></hl-trusted-source> of infections, including pneumonia and meningitis. They also have a higher likelihood of developing cancer.</p></div><div><p>Doctors treat the condition with ART. It is <a href="https://www.pedaids.org/about/about-pediatric-aids/" target="_blank" rel="noopener noreferrer" class="content-link css-90fpmc">important</a> to start treatment as early as possible. </p></div><div><p>Early treatment is <a href="https://www.unaids.org/sites/default/files/media_asset/FactSheet_Children_en.pdf" target="_blank" rel="noopener noreferrer" class="content-link css-90fpmc">particularly critical</a> for infants who contract HIV in the womb or during birth.</p></div></div></article><div class="css-1p5mq94"><p class="css-1080dvu">Get started with </p><p class="css-1rznang">Interested in trying ? We can help!</p><p class="css-1q83h4t"></p><button class="css-18tyfou" data-testid="button"><span class="css-14ktbsh"><span class="css-1huyk6v"></span></span></button></div><div class="css-x84v64"><button class="css-14o9p71" data-testid="button"><span class="css-14ktbsh"><span class="css-1huyk6v">Try </span></span></button><a href="#" class="css-lhmed6"><div><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 21 19" class="css-zykd3q"><path d="M12.23.96l8.33 14.3a2.34 2.34 0 01-3.06 3.28 15.78 15.78 0 00-14 0 2.34 2.34 0 01-3.06-3.29L8.77.96a2 2 0 013.46 0z"></path></svg>TOP</div></a></div></div><p data-testid="last-medically-reviewed" class="css-1kir5of"><span> </span></p><div class="css-5b5f7q"><ul><li itemProp="genre"><a class="css-90fpmc" data-event="Navigation|article tag click|HIV and AIDS" href="https://www.medicalnewstoday.com/categories/hiv-aids">HIV and AIDS</a></li><li itemProp="genre"><a class="css-90fpmc" data-event="Navigation|article tag click|Infectious Diseases / Bacteria / Viruses" href="https://www.medicalnewstoday.com/categories/infectious_diseases">Infectious Diseases / Bacteria / Viruses</a></li><li itemProp="genre"><a class="css-90fpmc" data-event="Navigation|article tag click|Pediatrics / Children&#x27;s Health" href="https://www.medicalnewstoday.com/categories/pediatrics">Pediatrics / Children&#x27;s Health</a></li></ul></div><div><div class="css-140fa3i"><div class="css-15lc7zf"><h3 id="bylineArticleTools">How we reviewed this article:</h3><div class="css-1g9ioi4"><button type="button" class="css-kxscys"><div class="css-rre5oz"><span class="css-1d75hb8"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" fill="none" viewBox="0 0 20 20"><path fill="currentColor" fill-rule="evenodd" d="M0 10C0 4.477 4.477 0 10 0s10 4.477 10 10-4.477 10-10 10S0 15.523 0 10Zm18.5 0a8.5 8.5 0 1 0-17 0 8.5 8.5 0 0 0 17 0ZM10 4c-.823 0-1.5.677-1.5 1.518C8.5 6.323 9.177 7 10 7c.841 0 1.5-.677 1.5-1.482A1.5 1.5 0 0 0 10 4Zm0 4.5a1 1 0 0 1 1 1V15a1 1 0 1 1-2 0V9.5a1 1 0 0 1 1-1Z" clip-rule="evenodd"></path></svg></span><span>Sources</span></div></button></div><div class="css-une8nx"><div class="css-1xn3edc css-1rkrrlx"><div id="article-resources" role="region" class="css-1ugaz02"><div class="css-0">Medical News Today has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our<!-- --> <a class="css-90fpmc" href="https://www.medicalnewstoday.com/articles/process">editorial policy</a>.</div><ul class="css-1vedeqe"><li class="css-1ti7iub"><cite><span>About pediatric AIDS. (n.d.). </span><br/><a class="css-90fpmc css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.pedaids.org/about/about-pediatric-aids/">https://www.pedaids.org/about/about-pediatric-aids/</a></cite></li><li class="css-1ti7iub"><cite><span>AIDS/HIV in children. (n.d.). </span><br/><a class="css-90fpmc css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.stanfordchildrens.org/en/topic/default?id=aidshiv-in-children-90-P02509">https://www.stanfordchildrens.org/en/topic/default?id=aidshiv-in-children-90-P02509</a></cite></li><li class="css-1ti7iub"><cite><span>Children and HIV: Fact sheet. (2016). </span><br/><a class="css-90fpmc css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.unaids.org/sites/default/files/media_asset/FactSheet_Children_en.pdf">https://www.unaids.org/sites/default/files/media_asset/FactSheet_Children_en.pdf</a></cite></li><li class="css-1ti7iub"><cite><span>Davies, M.-A., <em>et al</em>. (2016). Survival of HIV-1 vertically infected children. </span><br/><a class="css-90fpmc css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5384722/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5384722/</a></cite></li><li class="css-1ti7iub"><cite><span>HIV and children and adolescents. (2021). </span><br/><a class="css-90fpmc css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-and-children-and-adolescents">https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-and-children-and-adolescents</a></cite></li><li class="css-1ti7iub"><cite><span>HIV surveillance report, volume 31. (2018). </span><br/><a class="css-90fpmc css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-31.pdf">https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-31.pdf</a></cite></li><li class="css-1ti7iub"><cite><span>Pregnant women, infants, and children. (2021).</span><br/><a class="css-90fpmc css-1ivue52" target="_blank" rel="noopener noreferrer" href="https://www.cdc.gov/hiv/group/gender/pregnantwomen/index.html">https://www.cdc.gov/hiv/group/gender/pregnantwomen/index.html</a></cite></li></ul></div></div></div></div><div class="css-2wv3mf" data-testid="share-tools"><p>Share this article</p><div class="css-14uyzrw"><div class="button-wrapper print"><a class="css-xqmvw1 print button icon icon-hl-print" target="_blank" title="Print this page"></a></div><div class="button-wrapper email"><a class="css-xqmvw1 email button icon icon-hl-email" target="_blank" title="Email this page"></a></div><div class="button-wrapper facebook"><a class="css-xqmvw1 facebook button icon icon-hl-facebook" href="https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fwww.medicalnewstoday.com%2Farticles%2Fhiv-in-children%3Futm_medium%3Dsocial%26utm_source%3Dfacebook%26utm_campaign%3Dsocial-sharebar-referred-desktop" rel="noopener noreferrer nofollow" 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The credentials and contact information reflected here may not be current.\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cspan style=\"font-weight: 400;\"\u003eDr. Joseph Vinetz is an \u003c/span\u003e\u003ca href=\"https://www.abms.org/board-certification/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eABMS board certified\u003c/span\u003e\u003c/a\u003e \u003cspan style=\"font-weight: 400;\"\u003einfectious disease doctor at \u003c/span\u003e\u003ca href=\"https://www.yalemedicine.org/doctors/joseph_vinetz/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eYale Medicine\u003c/span\u003e\u003c/a\u003e \u003cspan style=\"font-weight: 400;\"\u003eand a professor of medicine at the Yale School of Medicine, in the section of infectious diseases, department of internal medicine. He is also a research professor in the faculty of sciences and the laboratory of research and development at the Universidad Peruana Cayetano Heredia. 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tongue"},{"url":"/articles/hiv-wasting-syndrome","title":"Wasting syndrome"},{"url":"/articles/hiv-night-sweats","title":"Night sweats"},{"url":"/articles/hiv-joint-pain","title":"Joint pain"},{"url":"/articles/hiv-neuropathy","title":"HIV neuropathy"},{"url":"/articles/oral-thrush-and-hiv","title":"Oral thrush and HIV"},{"url":"/articles/hiv-rna-tests","title":"HIV RNA tests"},{"url":"/articles/hiv-weight-loss","title":"HIV weight loss"},{"url":"/articles/hiv-confidentiality-laws-by-state","title":"Status disclosure laws"},{"url":"/articles/hiv-and-back-pain","title":"HIV and back pain"},{"url":"/articles/aids-t-cell-count","title":"AIDS T cell count"},{"url":"/articles/190664","title":"Cryptosporidiosis"},{"url":"/articles/hiv-stigma","title":"HIV stigma"},{"url":"/articles/323981","title":"Living with HIV"},{"url":"/articles/transgender-hiv","title":"HIV in transgender people"},{"url":"/articles/hiv-life-cycle","title":"HIV life cycle"},{"url":"/articles/hiv-aids-nutrition-and-diet","title":"Nutrition and DIet"},{"url":"/articles/early-detection-of-hiv","title":"Early detection"},{"url":"/articles/hiv-research","title":"HIV research"},{"url":"/articles/hiv-in-transgender-women","title":"In transgender women"},{"url":"/articles/candidiasis-and-hiv-link-treatment-and-prevention","title":"Candidiasis HIV"},{"url":"/articles/cd4-count","title":"CD4 count"},{"url":"/articles/rapid-hiv-test","title":"Rapid test"},{"url":"/articles/is-hiv-aids-a-disability","title":"Disability status"},{"url":"/articles/hiv-and-vitamin-d","title":"Vitamin D"},{"url":"/articles/hiv-in-pregnancy","title":"In pregnancy"},{"url":"/articles/nrtis","title":"NRTIs"},{"url":"/articles/hiv-encephalopathy","title":"HIV encephalopathy"},{"url":"/articles/prep-for-hiv","title":"Prep for HIV"},{"url":"/articles/is-hiv-an-std","title":"Is it an STD"},{"url":"/articles/hiv-after-gender-affirming-surgery","title":"After gender surgery"},{"url":"/articles/hiv-retinopathy","title":"Retinopathy"},{"url":"/articles/syphilis-and-hiv","title":"Syphilis and HIV"},{"url":"/articles/aids-defining-illness","title":"AIDS defining illnesses"},{"url":"/articles/covid-and-hiv","title":"COVID-19 and HIV"},{"url":"/articles/hiv-and-transgender-men","title":"HIV in trans men"},{"url":"/articles/lipodystrophy-hiv","title":"Lipodystrophy in HIV"},{"url":"/articles/needle-exchange-program-for-hiv","title":"Needle exchange program"},{"url":"/articles/perinatal-transmission-of-hiv","title":"Perinatal transmission"},{"url":"/articles/hiv-ati","title":"ATI for HIV"},{"url":"/articles/covid-vaccine-hiv","title":"COVID-19 vaccine and HIV"},{"url":"/articles/hiv-and-gender-affirming-hormone-therapy","title":"HIV and hormone therapy"},{"url":"/articles/statistics-of-aids-and-hiv","title":"HIV statistics"},{"url":"/articles/hiv-and-mental-health","title":"HIV and mental health"},{"url":"/articles/hiv-screenings","title":"HIV screenings"},{"url":"/articles/is-there-a-vaccine-for-hiv","title":"HIV vaccine"},{"url":"/articles/last-stages-of-aids-symptoms","title":"Later-stages symptoms"},{"url":"/articles/drugs-truvada-side-effects","title":"Truvada side effects"},{"url":"/articles/drugs-truvada-interactions","title":"Truvada interactions"},{"url":"/articles/drugs-truvada-dosage","title":"Truvada dosage"},{"url":"/articles/drugs-truvada-for-prep","title":"Truvada prep"},{"url":"/articles/drugs-biktarvy-vs-truvada","title":"Biktarvy vs. Truvada"},{"url":"/articles/drugs-truvada-vs-descovy","title":"Truvada and Descovy"},{"url":"/articles/switching-to-injectables-for-hiv","title":"Injectables for HIV"},{"url":"/articles/antiretroviral-therapy-and-hormone-therapy","title":"Antiretroviral therapy"},{"url":"/articles/drugs-apretude-side-effects","title":"Apretude side effects"},{"url":"/articles/drugs-cabenuva","title":"Cabenuva"},{"url":"/articles/drugs-cabenuva-cost","title":"Cabenuva cost"},{"url":"/articles/drugs-cabenuva-dosage","title":"Cabenuva dosage"},{"url":"/articles/at-home-hiv-tests","title":"Best at-home HIV tests"},{"url":"/articles/hiv-sores","title":"HIV sores"},{"url":"/articles/dovato","title":"Dovato"},{"url":"/articles/drugs-dovato-dosage","title":"Dovato dosage"},{"url":"/articles/drugs-dovato-cost","title":"Dovato cost"},{"url":"/articles/drugs-dovato-side-effects","title":"Dovato side effects"},{"url":"/articles/genvoya","title":"Genvoya"},{"url":"/articles/drugs-genvoya-side-effects","title":"Genvoya side effects"},{"url":"/articles/drugs-genvoya-dosage","title":"Genvoya dosage"},{"url":"/articles/drugs-biktarvy-cost","title":"Biktarvy cost"},{"url":"/articles/drugs-biktarvy-dosage","title":"Biktarvy dosage"},{"url":"/articles/triumeq","title":"Triumeq"},{"url":"/articles/drugs-triumeq-side-effects","title":"Triumeq side effects"},{"url":"/articles/drugs-triumeq-interactions","title":"Triumeq interactions"},{"url":"/articles/327102","title":"Descovy"},{"url":"/articles/drugs-descovy-dosage","title":"Descovy dosage"},{"url":"/articles/drugs-descovy-side-effects","title":"Descovy side effects"},{"url":"/articles/drugs-descovy-cost","title":"Descovy cost"},{"url":"/articles/drugs-descovy-interactions","title":"Descovy interactions"},{"url":"/articles/drugs-descovy-for-prep","title":"Descovy for PrEP"},{"url":"/articles/drugs-symtuza-side-effects","title":"Symtuza side effects"},{"url":"/articles/drugs-symtuza-interactions","title":"Symtuza interactions"},{"url":"/articles/cdi-isentress-dosage","title":"Isentress dosage"},{"url":"/articles/drugs-efavirenz-emtricitabine-tenofovir-tablet-dosage","title":"Efavirenz dosage"},{"url":"/articles/drugs-stribild-side-effects","title":"Stribild side effects"},{"url":"/articles/stribild","title":"Etribild"},{"url":"/articles/drugs-stribild-interactions","title":"Stribild interactions"},{"url":"/articles/drugs-stribild-dosage","title":"Stribild dosage"},{"url":"/articles/mnt-investigates-hiv-care-in-black-and-latino-communities","title":"Inequities in HIV care"}]},"pathingTilesData":{},"pathingCardsData":{},"inArticlePathingCardsData":[],"quantitativeTrustData":{},"isPrependRecipeH2":false,"recipes":[],"hideTabs":false,"tabs":[{"id":"_noHeaderPrefixedContent","title":null,"header":null,"body":[{"tagName":"div","source":"\u003cp class=\"css-4aeg3z\"\u003eDoctors encounter challenges is diagnosing HIV in children during the first year of life. Infants may have symptoms such as inadequate weight gain, intermittent diarrhea, and pneumonia. Later, symptoms may involve a broad array of health issues, depending on the severity of the HIV.\u003c/p\u003e"},{"tagName":"p","source":"The source of \u003ca href=\"https://www.medicalnewstoday.com/articles/311323\" class=\"content-link css-90fpmc\"\u003eHIV\u003c/a\u003e transmission in children is \u003ca href=\"https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-and-children-and-adolescents\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-90fpmc\"\u003eusually\u003c/a\u003e the parent who has birthed them. Exposure to the virus may occur in the womb, during childbirth, or when breastfeeding."},{"tagName":"div","attributes":{"data-preamp":"serena-chatbot"},"source":""},{"tagName":"p","source":"Treatment is the same as for adults with HIV ⁠— \u003ca href=\"https://www.medicalnewstoday.com/articles/323897\" class=\"content-link css-90fpmc\"\u003eantiretroviral therapy (ART)\u003c/a\u003e. If an infant has a severe case of HIV, the risk of death within the first few months \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5384722/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-90fpmc\"\u003eis high\u003c/a\u003e\u003c/hl-trusted-source\u003e even with treatment. Afterward, the likelihood of death drops quickly, and the long-term risk is low."},{"tagName":"p","source":"This article will look at the transmission, symptoms, diagnosis, and treatment of HIV in children. It will also discuss the outlook for children with HIV. "}]},{"id":"how-hiv-affects-children","title":"How HIV affects children","isCollapsable":false,"header":["How does HIV affect children?"],"body":[{"tagName":"div","source":"\u003cfigure class=\"css-yhe8zq\"\u003e\u003cspan class=\"css-rwmw5v\"\u003e\u003cspan class=\"css-mjp0j9\"\u003e\u003cpicture class=\"css-16pk1is\"\u003e\u003csource srcSet=\"//i0.wp.com/post.medicalnewstoday.com/wp-content/uploads/sites/3/2021/10/HIV-children-mother-shadow-header-1024x575.jpg?w=1575 750w\" media=\"(min-width: 1190px)\"/\u003e\u003csource srcSet=\"//i0.wp.com/post.medicalnewstoday.com/wp-content/uploads/sites/3/2021/10/HIV-children-mother-shadow-header-1024x575.jpg?w=1575 750w\" media=\"(min-width: 990px)\"/\u003e\u003csource srcSet=\"//i0.wp.com/post.medicalnewstoday.com/wp-content/uploads/sites/3/2021/10/HIV-children-mother-shadow-header-1024x575.jpg?w=1845 879w\" media=\"(min-width: 768px)\"/\u003e\u003cimg src=\"//i0.wp.com/post.medicalnewstoday.com/wp-content/uploads/sites/3/2021/10/HIV-children-mother-shadow-header-1024x575.jpg?w=1155\u0026h=1528\" alt=\"A shadow of a parent and child who may have HIV.\" class=\"css-1jytyml\"/\u003e\u003c/picture\u003e\u003c/span\u003e\u003chl-share-overlay class=\"css-1mqo1cs\"\u003e\u003ca class=\"css-90fpmc icon-hl-pinterest css-by55vd\" target=\"_blank\" rel=\"noopener noreferrer nofollow\" data-event=\"Any Page|Image Pinterest Click|Icon Clicked\" data-element-event=\"OPEN|CONTENTBLOCK|Any Page|Article Body|BUTTON|Image Widget Pinterest Click|\" href=\"https://www.pinterest.com/pin/create/button/?url=https%3A%2F%2Fwww.medicalnewstoday.com%2Farticles%2Fhiv-in-children\u0026media=https%3A%2F%2Fpost.medicalnewstoday.com%2Fwp-content%2Fuploads%2Fsites%2F3%2F2021%2F10%2FHIV-children-mother-shadow-header-1024x575.jpg\u0026description=HIV%20in%20children%3A%20Symptoms%2C%20treatment%2C%20and%20more\" title=\"Share on Pinterest\" data-pin-custom=\"true\" data-share-url=\"https://post.medicalnewstoday.com/wp-content/uploads/sites/3/2021/10/HIV-children-mother-shadow-header-1024x575.jpg\"\u003e\u003cspan class=\"css-z1zfa\"\u003eShare on Pinterest\u003c/span\u003e\u003c/a\u003e\u003c/hl-share-overlay\u003e\u003c/span\u003e\u003cfigcaption class=\"css-13b3g0x\"\u003eZanel De Lange/EyeEm/Getty Images\u003c/figcaption\u003e\u003c/figure\u003e"},{"tagName":"p","source":"HIV is a virus that harms the immune system, impairing the body’s ability to fight \u003ca href=\"https://www.medicalnewstoday.com/articles/196271\" class=\"content-link css-90fpmc\"\u003einfections\u003c/a\u003e and some types of \u003ca href=\"https://www.medicalnewstoday.com/articles/323648\" class=\"content-link css-90fpmc\"\u003ecancer\u003c/a\u003e. Since children do not have fully developed immunity, those with HIV become \u003ca href=\"https://www.pedaids.org/about/about-pediatric-aids/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-90fpmc\"\u003emore severely ill\u003c/a\u003e from common pediatric infections than those who are HIV-negative. "},{"tagName":"p","source":"Because they cannot fight infections well, children with HIV frequently get the following:"},{"tagName":"ul","source":"\u003cli\u003e\u003ca href=\"https://www.medicalnewstoday.com/articles/inner-ear-infection\" class=\"content-link css-90fpmc\"\u003eear infections\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.medicalnewstoday.com/articles/307190\" class=\"content-link css-90fpmc\"\u003esinus infections\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.medicalnewstoday.com/articles/151632\" class=\"content-link css-90fpmc\"\u003epneumonia\u003c/a\u003e\u003c/li\u003e\u003cli\u003eintestinal illness\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.medicalnewstoday.com/articles/305782\" class=\"content-link css-90fpmc\"\u003esepsis\u003c/a\u003e, a serious blood infection\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.medicalnewstoday.com/articles/316622\" class=\"content-link css-90fpmc\"\u003eskin diseases\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.medicalnewstoday.com/articles/9276\" class=\"content-link css-90fpmc\"\u003emeningitis\u003c/a\u003e, inflammation of the membrane covering the brain and spinal cord\u003c/li\u003e"},{"tagName":"p","source":"Doctors diagnosed \u003chl-trusted-source source=\"Centers for Disease Control and Prevention (CDC)\" rationale=\"Governmental authority\"\u003e\u003ca href=\"https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-31.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-90fpmc\"\u003e87\u003c/a\u003e\u003c/hl-trusted-source\u003e cases of HIV in children younger than 13 in the United States during 2018. "},{"tagName":"p","source":"\u003chl-trusted-source source=\"Centers for Disease Control and Prevention (CDC)\" rationale=\"Governmental authority\"\u003e\u003ca href=\"https://www.cdc.gov/hiv/group/gender/pregnantwomen/index.html\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-90fpmc\"\u003eThat year\u003c/a\u003e\u003c/hl-trusted-source\u003e, 1,544 children in the U.S. were living with HIV from transmission that happened before, during, or immediately after birth. Of these, 60% were African American."},{"tagName":"p","source":"Globally, approximately \u003ca href=\"https://www.pedaids.org/about/about-pediatric-aids/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-90fpmc\"\u003e1.7 million\u003c/a\u003e children under the age of 15 are living with HIV."}]},{"id":"transmission","title":"Transmission","isCollapsable":false,"header":["Transmission"],"body":[{"tagName":"p","source":"A \u003ca href=\"https://www.medicalnewstoday.com/articles/323742\" class=\"content-link css-90fpmc\"\u003epregnant person\u003c/a\u003e with HIV can transmit the virus to their fetus while it develops in the womb. Transmission from a parent with HIV to an infant may also occur during birth or breastfeeding. Doctors refer to these three routes of HIV spread as perinatal transmission."},{"tagName":"p","source":"In the U.S., perinatal transmission is the \u003ca href=\"https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-and-children-and-adolescents\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-90fpmc\"\u003emost common\u003c/a\u003e way children get HIV. Virtually all children contract it through this means, but not every child born to a person with HIV will get the virus."},{"tagName":"p","source":"Prior to \u003ca href=\"https://www.stanfordchildrens.org/en/topic/default?id=aidshiv-in-children-90-P02509\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-90fpmc\"\u003e1985\u003c/a\u003e, a small number of children contracted HIV through contaminated blood products. Due to routine screening that began at this time, the risk of transmission through blood is now very low."},{"tagName":"p","source":"Additionally, there are no known cases of HIV that have resulted from exposure via:"},{"tagName":"ul","source":"\u003cli\u003etears\u003c/li\u003e\u003cli\u003esaliva\u003c/li\u003e\u003cli\u003esweat\u003c/li\u003e\u003cli\u003ecasual contact, such as sharing bedding or food\u003c/li\u003e\u003cli\u003etoilet seats\u003c/li\u003e"},{"tagName":"p","source":"\u003ca href=\"https://www.medicalnewstoday.com/articles/315920\" class=\"content-link css-90fpmc\"\u003eLearn more about HIV transmission here.\u003c/a\u003e"}]},{"id":"symptoms","title":"Symptoms","isCollapsable":false,"header":["Symptoms"],"body":[{"tagName":"p","source":"Below are \u003ca href=\"https://www.stanfordchildrens.org/en/topic/default?id=aidshiv-in-children-90-P02509\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-90fpmc\"\u003ecommon\u003c/a\u003e symptoms of HIV in infants and children:"},{"tagName":"h3","source":"Infants up to 1 year of age"},{"tagName":"p","source":"In the first year of life, doctors have more difficulty recognizing HIV. Symptoms in infants may include:"},{"tagName":"ul","source":"\u003cli\u003edelayed physical development, manifesting in inadequate weight gain and bone growth\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.medicalnewstoday.com/articles/324105\" class=\"content-link css-90fpmc\"\u003eswollen lymph nodes\u003c/a\u003e\u003c/li\u003e\u003cli\u003eintermittent \u003ca href=\"https://www.medicalnewstoday.com/articles/158634\" class=\"content-link css-90fpmc\"\u003ediarrhea\u003c/a\u003e\u003c/li\u003e\u003cli\u003eswollen abdomen\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.medicalnewstoday.com/articles/317970\" class=\"content-link css-90fpmc\"\u003efungal infection\u003c/a\u003e in the mouth called oral thrush\u003c/li\u003e\u003cli\u003epneumonia\u003c/li\u003e"},{"tagName":"h3","source":"Children older than 1 year"},{"tagName":"p","source":"Doctors may categorize symptoms in children as mild, moderate, or severe. "},{"tagName":"p","source":"Mild symptoms include:"},{"tagName":"ul","source":"\u003cli\u003eswollen lymph nodes\u003c/li\u003e\u003cli\u003eswollen salivary glands\u003c/li\u003e\u003cli\u003eitchy \u003ca href=\"https://www.medicalnewstoday.com/articles/317999\" class=\"content-link css-90fpmc\"\u003erash\u003c/a\u003e\u003c/li\u003e\u003cli\u003econstant or reoccurring ear or sinus infections\u003c/li\u003e\u003cli\u003eabdominal swelling\u003c/li\u003e"},{"tagName":"p","source":"Moderate symptoms include:"},{"tagName":"ul","source":"\u003cli\u003einflammation and swelling of lung tissue\u003c/li\u003e\u003cli\u003econstant or reoccurring diarrhea\u003c/li\u003e\u003cli\u003eoral thrush that lasts longer than 2 months\u003c/li\u003e\u003cli\u003einflammation of the liver\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.medicalnewstoday.com/articles/172179\" class=\"content-link css-90fpmc\"\u003ekidney disease\u003c/a\u003e\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.medicalnewstoday.com/articles/168266\" class=\"content-link css-90fpmc\"\u003efever\u003c/a\u003e that lasts longer than 1 month\u003c/li\u003e\u003cli\u003ecomplicated \u003ca href=\"https://www.medicalnewstoday.com/articles/239450\" class=\"content-link css-90fpmc\"\u003echickenpox\u003c/a\u003e\u003c/li\u003e"},{"tagName":"p","source":"Severe symptoms include:"},{"tagName":"ul","source":"\u003cli\u003etwo serious \u003ca href=\"https://www.medicalnewstoday.com/articles/bacterial-infection-symptoms\" class=\"content-link css-90fpmc\"\u003ebacterial infections\u003c/a\u003e within 1 year\u003c/li\u003e\u003cli\u003einflammation of the brain\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.medicalnewstoday.com/articles/151172\" class=\"content-link css-90fpmc\"\u003eyeast infection\u003c/a\u003e in the lungs or digestive tract\u003c/li\u003e\u003cli\u003epneumocystis jiroveci pneumonia, the type of pneumonia common in people with HIV\u003c/li\u003e\u003cli\u003e\u003ca href=\"https://www.medicalnewstoday.com/articles/249141\" class=\"content-link css-90fpmc\"\u003etumors\u003c/a\u003e\u003c/li\u003e"}]},{"id":"diagnosis","title":"Diagnosis","isCollapsable":false,"header":["Diagnosis"],"body":[{"tagName":"p","source":"Doctors diagnose HIV in infants using different means than those they use to diagnose children older than 18 months."},{"tagName":"h3","source":"Infants below 18 months"},{"tagName":"p","source":"When a person with HIV gives birth, doctors \u003ca href=\"https://www.stanfordchildrens.org/en/topic/default?id=aidshiv-in-children-90-P02509\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-90fpmc\"\u003eusually\u003c/a\u003e order virologic tests for the infant at the following intervals:"},{"tagName":"ul","source":"\u003cli\u003ewithin 2 days of birth\u003c/li\u003e\u003cli\u003eafter 1 or 2 months\u003c/li\u003e\u003cli\u003eat 4 or 6 months of age\u003c/li\u003e"},{"tagName":"p","source":"Infants receive an HIV diagnosis when two different blood samples test positive for the virus."},{"tagName":"h3","source":"Children older than 18 months"},{"tagName":"p","source":"When fetuses develop within the womb, they receive nourishment from the pregnant parent through the placenta. If the pregnant parent has HIV, the placenta also transfers HIV antibodies to the fetus. For this reason, all infants birthed by a parent with HIV will test positive for the antibodies at birth."},{"tagName":"p","source":"After birth, antibodies for HIV from the birthing parent can remain in the blood for up to 18 months. Once children are over 18 months old, doctors use the \u003ca href=\"https://www.medicalnewstoday.com/articles/323901\" class=\"content-link css-90fpmc\"\u003eHIV antibody test\u003c/a\u003e to make a diagnosis."}]},{"id":"treatment","title":"Treatment","isCollapsable":false,"header":["Treatment and management"],"body":[{"tagName":"p","source":"The standard treatment for HIV is ART. Practitioners \u003ca href=\"https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-and-children-and-adolescents\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-90fpmc\"\u003erecommend\u003c/a\u003e this for people of all ages, including children. Experts advocate early treatment, as it \u003ca href=\"https://www.pedaids.org/about/about-pediatric-aids/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-90fpmc\"\u003ecan help\u003c/a\u003e children live longer, healthier lives."},{"tagName":"p","source":"The dose for children may depend on weight rather than age. Additionally, if a child is too young to swallow a pill, doctors may prescribe the liquid form of ART."},{"tagName":"p","source":"Several factors may affect adherence, which refers to taking the medication consistently. For instance, children may refuse treatment due to an unpleasant taste, or side effects may make them reluctant to take it."}]},{"id":"outlook","title":"Outlook","isCollapsable":false,"header":["Outlook"],"body":[{"tagName":"p","source":"Infants who contract HIV in the womb or during birth have a \u003ca href=\"https://www.unaids.org/sites/default/files/media_asset/FactSheet_Children_en.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-90fpmc\"\u003eless positive outlook\u003c/a\u003e than those who contract it during breastfeeding. They need ART very quickly to prevent death."},{"tagName":"p","source":"A \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5384722/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-90fpmc\"\u003e2016 study\u003c/a\u003e\u003c/hl-trusted-source\u003e found that in the years following the availability of ART, the risk of death declined greatly. However, the likelihood remains high within the first few months after the start of ART in young children with severe HIV. After this period, the rate of death decreases quickly, and the long-term risk is low."},{"tagName":"p","source":"The study authors noted that suboptimal adherence to ART threatens these high survival rates. Yet even with good adherence, children continue to have a high likelihood of associated illnesses."},{"tagName":"p","source":"Cancer is 5–10 times more common in children with HIV compared with those who are HIV-negative. Infections are another threat, as they are the major cause of death."}]},{"id":"summary","title":"Summary","isCollapsable":false,"header":["Summary"],"body":[{"tagName":"p","source":"HIV in children manifests in health conditions that stem from impaired immunity. "},{"tagName":"p","source":"Children with HIV cannot fight disease-causing microbes well, putting them at a \u003chl-trusted-source source=\"PubMed Central\" rationale=\"Highly respected database from the National Institutes of Health\"\u003e\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5384722/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-90fpmc\"\u003ehigher risk\u003c/a\u003e\u003c/hl-trusted-source\u003e of infections, including pneumonia and meningitis. They also have a higher likelihood of developing cancer."},{"tagName":"p","source":"Doctors treat the condition with ART. It is \u003ca href=\"https://www.pedaids.org/about/about-pediatric-aids/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-90fpmc\"\u003eimportant\u003c/a\u003e to start treatment as early as possible. "},{"tagName":"p","source":"Early treatment is \u003ca href=\"https://www.unaids.org/sites/default/files/media_asset/FactSheet_Children_en.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-90fpmc\"\u003eparticularly critical\u003c/a\u003e for infants who contract HIV in the womb or during birth."}]}],"hasAffiliateLinks":false,"affiliates":[],"isDisclaimer":false,"isOwnedAndOperatedPresent":false,"propsFor":{"articleResources":[{"displayLink":"pedaids.org/about/about-pediatric-aids/","link":"https://www.pedaids.org/about/about-pediatric-aids/","title":{"tagName":"span","source":"About pediatric AIDS. (n.d.). "}},{"displayLink":"stanfordchildrens.org/en/topic/default?id=aidshiv-in-children-90-P02509","link":"https://www.stanfordchildrens.org/en/topic/default?id=aidshiv-in-children-90-P02509","title":{"tagName":"span","source":"AIDS/HIV in children. (n.d.). "}},{"displayLink":"unaids.org/sites/default/files/media_asset/FactSheet_Children_en.pdf","link":"https://www.unaids.org/sites/default/files/media_asset/FactSheet_Children_en.pdf","title":{"tagName":"span","source":"Children and HIV: Fact sheet. (2016). "}},{"displayLink":"ncbi.nlm.nih.gov/pmc/articles/PMC5384722/","link":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5384722/","title":{"tagName":"span","source":"Davies, M.-A., \u003cem\u003eet al\u003c/em\u003e. (2016). Survival of HIV-1 vertically infected children. "}},{"displayLink":"hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-and-children-and-adolescents","link":"https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-and-children-and-adolescents","title":{"tagName":"span","source":"HIV and children and adolescents. (2021). "}},{"displayLink":"cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-31.pdf","link":"https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-31.pdf","title":{"tagName":"span","source":"HIV surveillance report, volume 31. (2018). "}},{"displayLink":"cdc.gov/hiv/group/gender/pregnantwomen/index.html","link":"https://www.cdc.gov/hiv/group/gender/pregnantwomen/index.html","title":{"tagName":"span","source":"Pregnant women, infants, and children. (2021)."}}],"byline":{"authors":[{"id":2878,"name":{"display":"Mary West","first":"Mary","last":"West"},"link":"/authors/mary-west","type":{"value":"author","label":"Author"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"\u003cp data-pm-slice=\"1 1 []\"\u003eMary West is a freelance writer based in Louisiana. Her work has appeared in various publications, including Medical News Today, Small Business Today Magazine, and Livestrong. She holds two bachelor’s degrees in health-related fields from the University of Louisiana at Monroe.\u003c/p\u003e\n"},"avatar":{"title":"","src":""}}],"medicalReviewers":[{"id":2983,"name":{"display":"Joseph Vinetz, MD","first":"Joseph","last":"Vinetz, MD"},"userLogin":"jvinetz","links":{"website":"https://www.yalemedicine.org/specialists/joseph_vinetz","facebook":"","linkedin":"https://www.linkedin.com/in/joseph-vinetz-0a083210/","twitter":"","instagram":"","tiktok":""},"link":"/reviewers/joseph-vinetz-md","type":{"value":"medical_reviewer","label":"Medical Advisor"},"nid":"164200","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003e\u003cem\u003eThis individual is no longer a medical reviewer in our network. The credentials and contact information reflected here may not be current.\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cspan style=\"font-weight: 400;\"\u003eDr. Joseph Vinetz is an \u003c/span\u003e\u003ca href=\"https://www.abms.org/board-certification/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eABMS board certified\u003c/span\u003e\u003c/a\u003e \u003cspan style=\"font-weight: 400;\"\u003einfectious disease doctor at \u003c/span\u003e\u003ca href=\"https://www.yalemedicine.org/doctors/joseph_vinetz/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eYale Medicine\u003c/span\u003e\u003c/a\u003e \u003cspan style=\"font-weight: 400;\"\u003eand a professor of medicine at the Yale School of Medicine, in the section of infectious diseases, department of internal medicine. He is also a research professor in the faculty of sciences and the laboratory of research and development at the Universidad Peruana Cayetano Heredia. His background in the history of medicine informs his perspectives on current emerging epidemic diseases.\u003c/span\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eEducation\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eYale University, BS\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eUniversity of California San Diego School of Medicine, MD\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eNational Institutes of Health, Postdoctoral Fellowship\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eJohns Hopkins Hospital, Residency, Fellowship\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eCertifications\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAmerican Board of Internal Medicine \u0026#8211; Internal Medicine\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAmerican Board of Internal Medicine \u0026#8211; Infectious Disease\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eProfessional Accomplishments\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAssociated investigator of the Alexander von Humboldt Institute of Tropical Medicine at the Universidad Peruana Cayetano Heredia in Lima, Peru\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eConducts research in global health and infectious diseases, focusing on diseases of high consequence such as malaria and leptospirosis\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eAffiliations\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://www.niaid.nih.gov/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eNational Institute of Allergy and Infectious Diseases (NIAID)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://www.nih.gov/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eNational Institutes of Health (NIH)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://the-asci.org/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAmerican Society for Clinical Investigation (ASCI)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://aap-online.org/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAssociation of American Physicians (AAP)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://www.astmh.org/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAmerican Society of Tropical Medicine and Hygiene\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://www.idsociety.org/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eInfectious Diseases Society of America (IDSA)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003c/ul\u003e\n"},"avatar":{"title":"","width":500,"height":500,"src":"https://post.medicalnewstoday.com/wp-content/uploads/2022/01/Joseph-Vinetz-500x500-Bio.png"}}],"id":"mnt-1301190","updateReason":[],"editor":"Maté Jarai","factCheckedBy":"","factCheckers":[],"articleHistory":{"2021-10-29":{"updateReason":[],"authors":"Mary West","editor":"Maté Jarai","copyEditor":"Kate Phelan","medicallyReviewedBy":"Joseph Vinetz, MD"}},"articleDates":{"factChecked":{"date":null,"display":""},"medicallyReviewed":{"date":1635469200,"display":"October 29, 2021"},"published":{"date":1635469200,"display":"October 29, 2021"},"lastUpdates":{"date":1635469200,"display":"October 29, 2021"},"modified":{"date":1635469255,"display":"October 29, 2021"}},"type":"healthfeature","language":"en"},"readNext":{"items":[{"title":["What to know about HIV wasting syndrome"],"text":["HIV wasting syndrome refers to significant unintentional weight loss that accompanies long lasting fever and weakness in a person living with HIV…"],"link":"/articles/hiv-wasting-syndrome","imageAlt":"What to know about HIV wasting syndrome","thumbnail":"https://media.post.rvohealth.io/wp-content/uploads/sites/3/2021/10/HIV_wasting_train_blur_thumb-732x549.jpg","isNutrition":false,"authors":[{"id":2878,"name":{"display":"Mary West","first":"Mary","last":"West"},"userLogin":"mwest","links":{"website":"","facebook":"","linkedin":"","twitter":"","instagram":"","tiktok":""},"link":"/authors/mary-west","type":{"value":"author","label":"Author"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"\u003cp data-pm-slice=\"1 1 []\"\u003eMary West is a freelance writer based in Louisiana. Her work has appeared in various publications, including Medical News Today, Small Business Today Magazine, and Livestrong. She holds two bachelor’s degrees in health-related fields from the University of Louisiana at Monroe.\u003c/p\u003e\n"},"avatar":{"title":"","src":""}}],"reviewedByHeader":"Medically reviewed by"},{"title":["What to know about HIV false-positives"],"text":["A false-positive HIV test occurs when a test incorrectly indicates that a person has contracted the virus. Learn more about the reasons for the result…"],"link":"/articles/323986","imageAlt":"What to know about HIV false-positives","thumbnail":"https://media.post.rvohealth.io/wp-content/uploads/sites/3/2020/02/323986_2200-732x549.jpg","isNutrition":false,"authors":[{"id":953,"name":{"display":"Jayne Leonard","first":"Jayne","last":"Leonard"},"userLogin":"jayneleonard","links":{"website":"","facebook":"","linkedin":"","twitter":"","instagram":"","tiktok":""},"link":"/authors/jayne-leonard","type":{"value":"author","label":"Author"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003eJayne is a qualified counselor and psychotherapist, and she holds a diploma in nutritional therapy. At present, she is completing a master\u0026#8217;s degree in counselling and psychotherapy. She is passionate about the influence of diet and lifestyle on mental health and well-being. Through her work in both private and not-for-profit settings, she hopes to empower others to take charge of their lives and improve their physical and mental health.\u003c/p\u003e\n"},"avatar":{"title":"","width":500,"height":500,"src":"https://post.medicalnewstoday.com/wp-content/uploads/sites/3/2020/06/500x500_Jayne_Leonard.png"}}],"reviewedByHeader":"Medically reviewed by"},{"title":["What to know about HIV retinopathy"],"text":["Many people with HIV will also experience other conditions as a result, including HIV retinopathy, which affects the eyes. Learn more about the…"],"link":"/articles/hiv-retinopathy","imageAlt":"What to know about HIV retinopathy","thumbnail":"https://media.post.rvohealth.io/wp-content/uploads/sites/3/2021/10/hiv-retinopathy-eyes-shadow-thumb-732x549.jpg","isNutrition":false,"authors":[{"id":1552,"name":{"display":"Zia Sherrell, MPH","first":"Zia","last":"Sherrell, MPH"},"userLogin":"zsherrell","links":{"website":"http://www.premiumhealthcontent.com","facebook":"https://www.facebook.com/ziahealthwriter","linkedin":"https://www.linkedin.com/in/freelance-healthcare-writer/","twitter":"/ziahealthwriter","instagram":"https://www.instagram.com/ziahealthwriter","tiktok":""},"link":"/reviewers/zia-sherrell","type":{"value":"expert","label":"Expert"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"\u003cp data-pm-slice=\"1 1 []\"\u003eZia Sherrell is a \u003ca class=\"ProsemirrorEditor-link\" href=\"https://www.premiumhealthcontent.com/common-faq-to-a-health-copywriter\"\u003ehealth copywriter\u003c/a\u003e and \u003ca class=\"ProsemirrorEditor-link\" href=\"https://www.premiumhealthcontent.com/about-your-healthcare-copywriter\"\u003edigital health journalist\u003c/a\u003e with over a decade of experience covering diverse topics from public health to medical cannabis, nutrition, and biomedical science. Her mission is to empower and educate people by bringing health matters to life with engaging, evidence-based writing. When she’s not writing, Zia enjoys traveling and chasing after her dogs.\u003c/p\u003e\n"},"avatar":{"title":"","width":1380,"height":1449,"src":"https://post.medicalnewstoday.com/wp-content/uploads/sites/3/2020/06/cropped.jpg"}}],"reviewedByHeader":"Medically reviewed by"},{"title":["What are the symptoms of HIV in females?"],"text":["HIV can affect anyone, and it may cause different symptoms in males and females. In this article, learn how HIV affects women and about the treatment…"],"link":"/articles/323835","imageAlt":"What are the symptoms of HIV in females?","thumbnail":"https://media.post.rvohealth.io/wp-content/uploads/sites/3/2022/02/females-embracing-732x549-thumbnail.jpg","isNutrition":false,"authors":[{"id":189,"name":{"display":"Rachel Nall, MSN, CRNA","first":"Rachel","last":"Nall, MSN, CRNA"},"userLogin":"rpnall","links":{"website":"","facebook":"","linkedin":"","twitter":"","instagram":"https://www.instagram.com/NallWrite/","tiktok":""},"link":"/authors/rachel-nall-msn-crna","type":{"value":"author","label":"Author"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003eRachel has been a freelance medical writer since 2004. She currently works as a Certified Registered Nurse Anesthetist at a Level I trauma center. To keep up with Rachel, follow her on Instagram.\u003c/p\u003e\n"},"avatar":{"title":"","width":500,"height":500,"src":"https://post.medicalnewstoday.com/wp-content/uploads/sites/3/2020/06/500x500_Rachel_Nall.png"}}],"reviewedByHeader":"Medically reviewed by"},{"title":["What to know about HIV retinopathy"],"text":["Many people with HIV will also experience other conditions as a result, including HIV retinopathy, which affects the eyes. Learn more about the…"],"link":"/articles/hiv-retinopathy","imageAlt":"What to know about HIV retinopathy","thumbnail":"https://media.post.rvohealth.io/wp-content/uploads/sites/3/2021/10/hiv-retinopathy-eyes-shadow-thumb-732x549.jpg","isNutrition":false,"authors":[{"id":1552,"name":{"display":"Zia Sherrell, MPH","first":"Zia","last":"Sherrell, MPH"},"userLogin":"zsherrell","links":{"website":"http://www.premiumhealthcontent.com","facebook":"https://www.facebook.com/ziahealthwriter","linkedin":"https://www.linkedin.com/in/freelance-healthcare-writer/","twitter":"/ziahealthwriter","instagram":"https://www.instagram.com/ziahealthwriter","tiktok":""},"link":"/reviewers/zia-sherrell","type":{"value":"expert","label":"Expert"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"\u003cp data-pm-slice=\"1 1 []\"\u003eZia Sherrell is a \u003ca class=\"ProsemirrorEditor-link\" href=\"https://www.premiumhealthcontent.com/common-faq-to-a-health-copywriter\"\u003ehealth copywriter\u003c/a\u003e and \u003ca class=\"ProsemirrorEditor-link\" href=\"https://www.premiumhealthcontent.com/about-your-healthcare-copywriter\"\u003edigital health journalist\u003c/a\u003e with over a decade of experience covering diverse topics from public health to medical cannabis, nutrition, and biomedical science. Her mission is to empower and educate people by bringing health matters to life with engaging, evidence-based writing. When she’s not writing, Zia enjoys traveling and chasing after her dogs.\u003c/p\u003e\n"},"avatar":{"title":"","width":1380,"height":1449,"src":"https://post.medicalnewstoday.com/wp-content/uploads/sites/3/2020/06/cropped.jpg"}}],"reviewedByHeader":"Medically reviewed by"}]},"isCorp":false,"isReference":false,"isPremiumVideo":false,"isStandaloneVideo":false,"isStandaloneRecipe":false,"schemaObj":{"@context":"https://schema.org","publisher":{"@type":"Organization","name":"Medical News Today","logo":{"@type":"ImageObject","url":"https://cdn-prod.medicalnewstoday.com/structure/images/logo/logo-2017-640-60.png"}},"@type":"MedicalWebPage","headline":"What to know about HIV in children","description":"Learn about how HIV affects children, including facts about transmission, symptoms, diagnosis, treatment, and the outlook for children with HIV.","keywords":"HIV in children","author":{"@type":"Person","name":"Mary West"},"lastReviewed":"2021-10-29T01:00:00Z","url":"https://www.medicalnewstoday.com/articles/hiv-in-children","datePublished":"2021-10-29T01:00:00Z","dateModified":"2021-10-29T01:00:00Z","articleSection":"HIV and AIDS,Infectious Diseases / Bacteria / Viruses,Pediatrics / Children's Health","correction":{"@type":"CorrectionComment","text":"","datePublished":"2021-10-29"},"reviewedBy":"Joseph Vinetz, MD","primaryImageOfPage":["https://post.medicalnewstoday.com/wp-content/uploads/sites/3/2021/10/HIV-children-mother-shadow-header-1024x575.jpg"],"thumbnail":["https://media.post.rvohealth.io/wp-content/uploads/sites/3/2021/10/HIV-children-mother-shadow-thumb-732x549.jpg"]},"hero":{}}},"ampLibs":{}},"pathname":"/tabbed","query":{"isControl":false,"url":"/articles/hiv-in-children","activationReadNext":true,"experimentalRPM":"control","dcsCopayBestOffer":"control","dcsNativeCoupon":"variant","dcsCopayOnly":"variant","adbridgFlag":false,"oneTrustCPRA":true,"moveImageGalleryBelowDeck":"control","dcsEditInfoSectionPlacement":"control","pillIdentifierNoDupes":"control"},"publicPath":"https://assets.medicalnewstoday.com/_next/","appState":{"title":"HIV in children: Symptoms, treatment, and more","canonical":"https://www.medicalnewstoday.com/articles/hiv-in-children","hrlContentId":"mnt-1301190","isArticle":true,"isContentSeries":false,"canonicalPath":"/articles/hiv-in-children","pageTemplate":"Tabbed Article","logMoreMetrics":true,"adsSponsored":false,"isCPUV":false,"newsletter":{"tags":"","categories":"hiv-aids,infectious_diseases,pediatrics"},"isSponsoredArticle":false,"targeting":{"k1":"hivaids","k2":"infectious","k3":"health","kmeta":"pfizer-blocked","msiteactive":"false","url":"/articles/hiv-in-children","articleId":"mnt-1301190","adLayout":"REDUCED"},"categories":[{"name":"HIV and AIDS","slug":"hiv-aids","link":"/categories/hiv-aids","primary":true,"children":[]},{"name":"Infectious Diseases / Bacteria / Viruses","slug":"infectious_diseases","link":"/categories/infectious_diseases","children":[]},{"name":"Pediatrics / Children's Health","slug":"pediatrics","link":"/categories/pediatrics","children":[]}],"subcategories":[],"sponsoredNavMenu":false,"author":"Mary West","editor":"Maté Jarai","contentForm":"Head Term","type":"healthfeature","vertical":"Chronic Condition","trackingTerms":[],"isPremiumVideo":false,"isStandaloneVideo":false,"isStandaloneRecipe":false,"hasDisabledPrerollJWPlayer":false,"isNewsArticle":false,"hasEmbeddedJWPlayer":false,"byline":{"authors":[{"id":2878,"name":{"display":"Mary West","first":"Mary","last":"West"},"link":"/authors/mary-west","type":{"value":"author","label":"Author"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"\u003cp data-pm-slice=\"1 1 []\"\u003eMary West is a freelance writer based in Louisiana. Her work has appeared in various publications, including Medical News Today, Small Business Today Magazine, and Livestrong. She holds two bachelor’s degrees in health-related fields from the University of Louisiana at Monroe.\u003c/p\u003e\n"},"avatar":{"title":"","src":""}}],"medicalReviewers":[{"id":2983,"name":{"display":"Joseph Vinetz, MD","first":"Joseph","last":"Vinetz, MD"},"userLogin":"jvinetz","links":{"website":"https://www.yalemedicine.org/specialists/joseph_vinetz","facebook":"","linkedin":"https://www.linkedin.com/in/joseph-vinetz-0a083210/","twitter":"","instagram":"","tiktok":""},"link":"/reviewers/joseph-vinetz-md","type":{"value":"medical_reviewer","label":"Medical Advisor"},"nid":"164200","specialties":[],"guestTitle":"","bio":{"text":"\u003cp\u003e\u003cem\u003eThis individual is no longer a medical reviewer in our network. The credentials and contact information reflected here may not be current.\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cspan style=\"font-weight: 400;\"\u003eDr. Joseph Vinetz is an \u003c/span\u003e\u003ca href=\"https://www.abms.org/board-certification/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eABMS board certified\u003c/span\u003e\u003c/a\u003e \u003cspan style=\"font-weight: 400;\"\u003einfectious disease doctor at \u003c/span\u003e\u003ca href=\"https://www.yalemedicine.org/doctors/joseph_vinetz/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eYale Medicine\u003c/span\u003e\u003c/a\u003e \u003cspan style=\"font-weight: 400;\"\u003eand a professor of medicine at the Yale School of Medicine, in the section of infectious diseases, department of internal medicine. He is also a research professor in the faculty of sciences and the laboratory of research and development at the Universidad Peruana Cayetano Heredia. His background in the history of medicine informs his perspectives on current emerging epidemic diseases.\u003c/span\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eEducation\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eYale University, BS\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eUniversity of California San Diego School of Medicine, MD\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eNational Institutes of Health, Postdoctoral Fellowship\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eJohns Hopkins Hospital, Residency, Fellowship\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eCertifications\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAmerican Board of Internal Medicine \u0026#8211; Internal Medicine\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAmerican Board of Internal Medicine \u0026#8211; Infectious Disease\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eProfessional Accomplishments\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAssociated investigator of the Alexander von Humboldt Institute of Tropical Medicine at the Universidad Peruana Cayetano Heredia in Lima, Peru\u003c/span\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eConducts research in global health and infectious diseases, focusing on diseases of high consequence such as malaria and leptospirosis\u003c/span\u003e\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003e\u003cstrong\u003eAffiliations\u003c/strong\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://www.niaid.nih.gov/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eNational Institute of Allergy and Infectious Diseases (NIAID)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://www.nih.gov/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eNational Institutes of Health (NIH)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://the-asci.org/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAmerican Society for Clinical Investigation (ASCI)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://aap-online.org/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAssociation of American Physicians (AAP)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://www.astmh.org/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eAmerican Society of Tropical Medicine and Hygiene\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003cli style=\"font-weight: 400;\" aria-level=\"1\"\u003e\u003ca href=\"https://www.idsociety.org/\"\u003e\u003cspan style=\"font-weight: 400;\"\u003eInfectious Diseases Society of America (IDSA)\u003c/span\u003e\u003c/a\u003e\u003c/li\u003e\n\u003c/ul\u003e\n"},"avatar":{"title":"","width":500,"height":500,"src":"https://post.medicalnewstoday.com/wp-content/uploads/2022/01/Joseph-Vinetz-500x500-Bio.png"}}],"id":"mnt-1301190","updateReason":[],"editor":"Maté Jarai","factCheckedBy":"","factCheckers":[],"articleHistory":{"2021-10-29":{"updateReason":[],"authors":"Mary West","editor":"Maté Jarai","copyEditor":"Kate Phelan","medicallyReviewedBy":"Joseph Vinetz, MD"}},"articleDates":{"factChecked":{"date":null,"display":""},"medicallyReviewed":{"date":1635469200,"display":"October 29, 2021"},"published":{"date":1635469200,"display":"October 29, 2021"},"lastUpdates":{"date":1635469200,"display":"October 29, 2021"},"modified":{"date":1635469255,"display":"October 29, 2021"}},"type":"healthfeature","language":"en"},"cesData":{"metaDescription":"Learn about how HIV affects children, including facts about transmission, symptoms, diagnosis, treatment, and the outlook for children with HIV.","title":"HIV in children: Symptoms, treatment, and more","iab_tag_tier_1":[],"iab_tag_tier_2":[],"mpdTags":[{"confidence":0.9989763821663594,"type":"topic_level_1","value":"health"},{"confidence":0.9266788205806471,"type":"topic_level_2","value":"disease_risks_and_transmission"},{"confidence":0.7757899053034054,"type":"topic_level_3","value":"stis_and_stds"},{"confidence":0.5418393873663157,"type":"topic_level_4","value":"hiv_overview"},{"confidence":0.7030993291187658,"type":"entity","value":"hiv"}]},"relatedStories":[{"title":"What one man's 'escape' from Alzheimer's might tell us about the disease","link":"https://www.medicalnewstoday.com/articles/what-one-mans-escape-from-alzheimers-might-tell-us-about-the-disease","thumbnail":"https://media.post.rvohealth.io/wp-content/uploads/sites/3/2025/02/brain-scans-gloved-fingers-732x549-thumbnail.jpg","summary":"A 75-year-old man with a genetic predisposition for Alzheimer’s has yet to show signs of the disease. 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