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Diagnostic Dilemma

You can send in a particular difficult case that is leading nowhere in diagnosis and this case is put online, an S.O.S newsletter would be sent to all the registered doctors on Pediatric Oncall. Thus, the pediatric fraternity will join hands together and try and answer the dilemma as fast as possible in this chat forum. It is like an online modified telemedicine
Diagnostic Dilemma >>> Triple infections

Below is the previous diagnostic dilemma
>>> Tremors and spasticity [Last Shown: 9 Apr 2008]
>>> A 1 ˝ years old with recurrent infections [Last Shown: 9 Apr 2008]
>>> A 4 month old with delayed milestones, cataracts and metabolic acidosis [Last Shown: 12 Mar 2008]
>>> Biotinidase deficiency [Last Shown: 26 Feb 2008]
>>> A child with long standing epilepsy and acute dystonia. [Last Shown: 6 Feb 2008]
>>> A 15 months old boy with severe anemia [Last Shown: 25 Jan 2008]
>>> Unresolving pneumonia [Last Shown: 10 Jan 2008]
>>> Polyserositis [Last Shown: 22 Dec 2007]
>>> A 3 months old with sepsis and bradycardia and SLE in the mother. [Last Shown: 10 Dec 2007]
>>> A 10 years old with muscular dystrophy [Last Shown: 26 Nov 2007]
>>> Persistent respiratory distress in a 10 month old [Last Shown: 10 Nov 2007]
>>> Ascitis [Last Shown: 22 Oct 2007]
>>> A 10 years old girl with abdominal distension [Last Shown: 10 Oct 2007]
>>> Convulsion [Last Shown: 26 Sep 2007]
>>> Is it Duchenne...? [Last Shown: 8 Sep 2007]
>>> Facial palsy [Last Shown: 25 Aug 2007]
>>> Neonatal jaundice [Last Shown: 13 Aug 2007]
>>> Is this osteogenesis imperfecta or nail-patella syndrome? [Last Shown: 2 Aug 2007]
>>> Multiple apneas with organomegaly [Last Shown: 10 Jul 2007]
>>> Neonatal Palatal Ulcer [Last Shown: 26 Jun 2007]
>>> Massive hepatosplenomegaly [Last Shown: 16 Jun 2007]
>>> Unexplained cough [Last Shown: 25 May 2007]
>>> Hypertension [Last Shown: 11 May 2007]
>>> Short stature [Last Shown: 25 Apr 2007]
>>> Micropenis [Last Shown: 11 Apr 2007]
>>> Antimalarial prophylaxis [Last Shown: 22 Mar 2007]
>>> Excessive salivation... [Last Shown: 10 Mar 2007]
>>> Spot diagnosis [Last Shown: 28 Feb 2007]
>>> Interesting Case in Neonatology [Last Shown: 13 Feb 2007]
>>> Massive Ascites [Last Shown: 25 Jan 2007]
>>> Chikungunya [Last Shown: 13 Jan 2007]
>>> Diagnostic Dilemma... [Last Shown: 27 Dec 2006]
>>> ASCITIS AND BILATERAL PLEURAL EFFUSION [Last Shown: 14 Dec 2006]
>>> MACULAR RASH AND BLOOD DISEASES [Last Shown: 27 Nov 2006]
>>> Meningoencephalitis or electrolyte disturbances? [Last Shown: 14 Nov 2006]
>>> What is it? [Last Shown: 30 Oct 2006]
>>> Is it JRA? [Last Shown: 6 Oct 2006]
>>> Diagnostic Dilemma… [Last Shown: 24 Sep 2006]
>>> Recurrent aphthous ulcers [Last Shown: 15 Sep 2006]
>>> What else? [Last Shown: 23 Aug 2006]
>>> Lymphadenopathy [Last Shown: 12 Aug 2006]
>>> 8 month child with FTT [Last Shown: 24 Jul 2006]
>>> Fixing of testis [Last Shown: 10 Jul 2006]
>>> Severe persistent vomiting [Last Shown: 27 Jun 2006]
>>> A case of Neonatal sepsis [Last Shown: 14 Jun 2006]
>>> A 9 month old with massive hepatomegaly [Last Shown: 22 May 2006]
>>> A child with paraparesis [Last Shown: 9 May 2006]
>>> A 9 months old with fever since 4 months [Last Shown: 21 Apr 2006]
>>> Newborn with anasarca and splenomegaly [Last Shown: 6 Apr 2006]
>>> A 2 year old with pancytopenia [Last Shown: 25 Mar 2006]
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