April 2007 Newsletter Volume-4, Issue-4

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

April-2007 Volume-4, Issue-4

Clinical Tools

Clinical Vignettes

Diseases & Conditions

Drugs Interaction Calculator

Podcasts

Patient Management Online

Diagnostic Dilemma

Question of the Day

Medical Quiz

Interactives

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SPECIALIST ANSWERS

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

Video Podcast

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Videos on Asthma

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April-2007 Volume-4, Issue-4

Dear Doctor,

DIAGNOSTIC DILEMMA

This month's Diagnostic Dilemma:
Kusumdoshi
A 1 year old child is brought to Mumbai to be kept with the grandparents. The parents are NRIs. They plan to keep the child here till he is 5 years of age. How long to give weekly antimalarial prophylactically? Read the entire case in the section of DIAGNOSTIC DILEMMA for further details.

TEACHING FILES

Ira Shah
This month's teaching File:A An 11 year old boy presents with fever, increasing pallor and ecchymosis over the IV site. There was no lymphadenopathy or organomegaly. What is the diagnosis? Read the entire teaching clinical query in the section of "TEACHING FILES" and try the correct answer.

Last month's teaching file:
Query: A 10 year old presents with right sided pleural effusion, fever, huge cervical lymphadenopathy and hepatosplenomegaly. What is the diagnosis?
Answer: Read and discuss this case in full details further in the section of "DISCUSSION GROUPS".

REVIEW ARTICLE

Prevention of Diarrhea. A. Gaffar Billoo. This article highlights the burden of diarrheal diseases in children and gives various steps for prevention of diarrhea.

CASE REPORTS

Thrombocytopenia as a Presenting Feature of Systemic Lupus Erythematosus (SLE). Karuna Thapar, Gaurav Dhawan. Systemic lupus erythematosus (SLE) is an autoimmune disease characterized by body's production of antibodies to nuclear components of cells and multiple target organ damage. Clinical presentation includes symptoms like fever, malaise, rash, oral ulcers, non erosive inflammatory polyarthritis and malar rash. Read about a case of SLE presenting as thrombocytopenia.

VIEWERS CHOICE

ARGININOSUCCINIC ACIDURIA. Ravindra Arya, Rajneesh Nema, Maya Chansoria. Argininosuccinate lyase deficiency (argininosuccinic aciduria) is an autosomal recessive trait with a prevalence of about 1 in 70000 live births. Following case report illustrates the importance of a high index of suspicion for these metabolic disorders in a presentation overlapping with or simulating neonatal sepsis.

IMAGE GALLERY

Try your clinical skills in the "SPOT DIAGNOSIS" for the fortnight and the lucky winner gets a child health CD - courtesy Pediatric Oncall

SPOT DIAGNOSIS:

Last month's answers:
Case 1: Shunt migration
Case 2: Tinea corporis.

Sincerely,
Pediatric Oncall

ANNOUNCEMENT

Free ART for Pediatric HIV patients is available at the following centres in Mumbai

- B.J.Wadia Hospital for Children
- JJ Hospital
- KEM Hospital
- Nair Hospital
- Sion Hospital

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

No, it should be used only after drug sensitivity report

Yes, under guidance of an infectious disease expert

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