December 2008 Newsletter Volume-5 Issue-12

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

December 2008 Volume-5 Issue-12

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

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December 2008 Volume-5 Issue-12

(Advertisement)

Dear Doctor,

DIAGNOSTIC DILEMMA

Saumendu Bhattacharjee
A 2 years 2 months old boy presented with intermittent multiple soft tissue swelling around the joints for last 10 months. What is the diagnosis? Read more...

Last fortnight's query of a 3 years old boy with fever, excessive sleepiness, hyperammonemia, generalized aminoaciduria. What is the cause of the hyperammonemia? Most of the readers have replied that one should rule out OTC deficiency or a metabolic disorder. The authors thank the viewers and have sent a urine organic acid screening in the child.

TEACHING FILES

Ira Shah
A 14 year old girl with Wilson’s disease presented with increased salivation, tremors and spilling of feeds for the past 2 months. Her present 24 hrs urine copper is 50 µg/dl and slit lamp examination shows presence of KF ring. Is her Wilson’s disease under control? Read the entire teaching clinical query in the section of “TEACHING FILES” and try the correct answer.

Last month's teaching file:
Query: A 2 ½ years old girl has fever for 2 months with hepatosplenomegaly. Chest X-ray, HIV, Hemogram, Mantoux test are normal. How should this child be investigated further?

Answer: Enteric Fever. Read more...

REVIEW ARTICLE

Pulmonary Hypertension in Children: An Overview. Bibhuti B.Das. A brief review article that provides an overview of diagnostic and treatment strategies of pulmonary hypertension.

CASE REPORTS

Nail involvement as presenting feature of Langerhans Cell Histiocytosis. Soheila Khazaei. Langerhans Cell Histiocytosis is characterized by fever, hepatosplenomegaly, skin lesions, lymphadenopathy and bone marrow involvement Nail involvement is unusual and rarely reported. Read more...

VIEWER'S CHOICE

Chondrodysplasia Punctata. Kalia Vishal, Vibhuti, Aggarwal Tanuj.

IMAGE GALLERY

Ketan Kulkarni. MD, PGIMER, Chandigarh

A 10 year old female child presented with polymorphic seizures and skin patch. She also had adenoma sebaceum. Neuroimaging demonstrated multiple subependymal nodules with candle dip appearance. What Is the diagnosis? What is the skin lesion?

Last month's image gallery:
Case 1: Ventriculitis with hydrocephalus
Case 2: Primary Progressive TB

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

Sincerely,
Pediatric Oncall

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Next : December-2008 Volume-5, Issue-12[Supplement 12]

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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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