Abstract
A 33 year old woman was admitted to the gynaecology ward in Queen Elizabeth Central Hospital with a four day history of abdominal pain and jaundice. She was 16 weeks pregnant in her third pregnancy. Both her previous pregnancies resulted in live, healthy children. Her health passport showed that she had been diagnosed HIV positive in 2008 during antenatal testing, although neither the patient nor her relatives were aware of her status and she was not taking anti-retroviral treatment. Three weeks before admission she had received treatment for malaria with quinine and had made a full recovery. She had no other past medical history.
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