Case report reveals missed opportunities for monitoring and integrated care, highlighting prevention needs for perinatal HIV.
Perinatal HIV transmission is rare when maternal HIV RNA is undetectable, yet transmission can still occur. This report describes an infant diagnosed with HIV at 6 months of age despite the mother's documented viral suppression. Missed opportunities in monitoring and care coordination and proposed solutions to prevent future failures are outlined. This case underscores three key themes: the small but real residual risk of perinatal transmission even with reported suppression, the vulnerability created by lapses in maternal monitoring, and the importance of integrated, multidisciplinary care.
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Matthew Grant (2026) studied this question.
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