April 2012 Newsletter Volume-9 Issue- 4

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

April 2012 Volume-9 Issue- 4

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

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April 2012 Volume-9 Issue- 4 (ISSN - 0973-0958)

TABLE OF CONTENTS
Access current issue (April 2012) online Read more...

DIAGNOSTIC DILEMMA

Naji Ahmed
A 12 year old girl born of consanguineous marriage, presented with tachypnea, easy fatigability, abdominal distention of 3 weeks duration. She has past history of progressive generalized muscle weakness of mild severity since 3 years of age associated with contracture of small joints of both hands. She has older brother 16 years old of age who also has progressive generalized muscle weakness associated with contracture of joints especially of lower legs and scoliosis. She has 2 sisters 10 and 14 year of age without medical problem. EMG study : consistent with chronic, diffuse, non-inflammatory, non-dystrophic myopathic process of mild to moderate severity. The proximal muscles are more significantly involved. CPK : 169 U/ L .

What is the diagnosis?

Read more...

TEACHING FILES

Ira Shah

A 7 years old boy presented with dry cough for 1 month which subsided since last one week. There is no fever, loss of appetite or loss of weight. There is contact with a neighbor who is suffering from tuberculosis. The physician did a mantoux test which was 23 mm. Chest X-Ray was normal and ESR was 5 mm at end of 1 hour. Quantiferon gold test was also positive.

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: An 11 years old give presented with unsteadiness while walking for 1 year, change in voice and dribbling of saliva since 6 months. There is no neuroregression. What is the diagnosis?

Answer: Wilson's disease

Read more...

CASE REPORTS
Poovazhagi V, Muralidharan PS, Parivathini S Neonatal diabetes with Kir 6.2 mutation on glibenclamide therapy Read more...

LETTERS TO EDITOR (VIEWER'S CHOICE)
Deepak Kumar, Sonika Gupta, Niraj Gupta Goldenhar Syndrome Read more... Shalini Tripathi, Sunil Taneja, Samarth Vohra Hypovitaminosis D in an infant with hypocalcemic seizures secondary to maternal vitamin D deficiency Read more...

IMAGE GALLERY

Sachin Gajanan Damke, Bhavana Lakhkar,
Nitin Borkar

A newborn baby of 35 completed weeks of gestation, of undetermined sex and birth weight of 1700 grams had an abdominal wall defect just below the umbilicus with a red mass protruding out of it which looked like an elephant head with a central tubular trunk like structure {prolapsed ileum - B} and two lateral ear-like structures {exstrophy of bladder - A}. There was imperforate anus, a swelling over the left sacral area probably a meningocele with an underlying defect of the left sacral bone. What is the diagnosis?

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

Read more...

Sincerely,
Pediatric Oncall

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With increasing resistance to first line drugs, should category 2 treatment be modified?

Yes, adding streptomycin to a failing regime will lead to more drug resistance
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Next : April-2012 Volume-9, Issue-4 [Supplement 4]

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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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Yes, under guidance of an infectious disease expert

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