4th Pediatric Infectious Diseases Conference

 
 
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Q. Rakesh Kumar, Binay Ranjan, Manjul Vijay
Department of Pediatrics, Katihar medical college, Katihar, Bihar, India

Address for Correspondence: Rakesh Kumar, Department of Pediatrics, Katihar medical college, Katihar, Bihar, India. Email: drjaiswalrakesh@yahoo.co.in

A 10 month old girl child came in our out-patient department with complains of dark circles {blackening} around both eyes and occasional fever. On examination, the child was afebrile, markedly pale and very irritable. She also had periorbital hyperpigmentation and ecchymosis and mild proptosis bilaterally {Figure 1}. There was no history of trauma or abuse. On abdominal examination, liver was palpable 2cm below the right subcostal margin. Routine hemogram showed pancytopenia with haemoglobin of 5.1gm, dl, white cell count 3800, cumm and platelets 30,000, cumm. In order to find out the cause of pancytopenia, bone marrow examination was done which revealed hypocellular marrow with infiltration with neuroblasts. With a provisional diagnosis of neuroblastoma, urinary vanillymandelic acid level was advised which came to be very high. CT scan of abdomen showed left suprarenal adrenal mass with stippled calcifications. Histopathological examination of the mass confirmed the diagnosis of neuroblastoma.

What is the eye lesion called_?

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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
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