Riea – Nepal

The name of the child in this story has been changed to protect confidentiality.

Riea’s mother, also suffering from alcohol addiction, was diagnosed with TB and began first-line treatment in 2011. She remained culture positive, even after receiving a re-treatment regimen under the close supervision of a health care provider.  Riea’s mother was finally diagnosed with DR-TB, but around the time of this diagnosis, she began to default on her treatment and subsequently lost contact with the health care providers.

Riea was diagnosed with DR-TB in 2011 and started on treatment soon thereafter. A neighbor has been caring for her in her mother’s absence. At the start of her treatment, Riea weighed only 12 kg (26.5 lbs), but she has gained 3 kg (6.6 lbs) since her treatment was started. Riea is active and seems to be improving, but she has difficulty producing enough sputum for follow-up testing to determine how her treatment is progressing.  Improving care for young children like Riea requires new tools for monitoring treatment response that do not rely on sputum specimens.

Story Collected by: The Britain Nepal Medical Trust