Baby B was born weighing 2.5 kg. His mother and grandmother had full blown AIDS and he was diagnosed with HIV at birth. He was found in his home neglected, as his mother was too ill to care for him and she signed him over for adoption. He arrived at ITL at 2.5 months, weighing just 3.1 kg. He was suffering from malnutrition, tuberculosis, respiratory distress and was HIV positive. In addition, he had scabies and severe eczema. DHM was started upon arrival. A month later, at 3.5 months, he began treatment for TB. Apart from drainage of a few skin abscesses at four months of age, his general condition improved on the DHM, as did his eczema and he thrived and attained all his milestones appropriately. He remained on the DHM until he was 14 months old. At the age of 21 months he was started on ARVs which increased his CD 4 count from 13 to 30% in a six month period and was adopted at this time.