Introduction
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The Paediatric Internet-based Discussion Group (PDG) assists health care professionals in resolving HIV-related clinical problems through the use of case studies. Summaries of difficult and interesting cases are emailed to group members who email their responses to all participants. This format allows users to consult with one another, share their experiences, and utilize their collective expertise in the treatment of HIV and HIV-related illnesses in an online forum. The following case was presented to a group of South African pediatricians. The opinions of the participants are summarized below, followed by recommendations from experts in the field. Readers should be aware that opinions vary and may be influenced by the availability of resources and differences in standard of care among regions. Clinical judgment, reinforced by data, is of paramount importance .