December 2012 Newsletter Volume-9 Issue- 12

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

December 2012 Volume-9 Issue- 12

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December 2012 Volume-9 Issue- 12 (ISSN - 0973-0958)

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

DIAGNOSTIC DILEMMA

Pediatric Oncall
A 7 years old girl presented with fever for 1 week and anorexia and weight loss for 3 months. She was on Antituberculous Therapy {ATT} since 3 months in view of Chest X-Ray suggestive of Miliary TB with positive Mantoux test. However drugs had been stopped for past 10 days due to epigastric pain and tingling numbness. On examination, she was malnourished, had hepatomegaly with bilateral crepitations. Investigations showed multiple cystic lesions in bilateral lung fields with pneumonia on right side and multiple small abscesses seen in both lobes of liver. HIV ELISA was negative.

What is the diagnosis?

Read more...

TEACHING FILES

Ira Shah

A 3½ years old girl is in contact with an adult suffering from XDR-TB. Her Mantoux test is also positive. She is otherwise asymptomatic. Her Chest X-Ray is normal.

How should this child be treated?

Read the entire teaching clinical query in the section of "TEACHING FILES" and try the correct answer.

Last month's teaching file: A 4 month old boy, presented failure to thrive. Mother had fever at 7 months of gestation. The child on Day 15 of life developed rash over body with fever which cleared off in 4 days. At 2 months of age, he had hematemesis with malena and was given whole blood transfusion and fresh frozen plasma. On examination, he had pallor, hepatomegaly. Investigations showed elevated liver enzymes and positive CMV IgG with CMV viral load = 3000 copies/ml
Does the CMV infection require treatment?

Answer: Rreatment is recommended only when there is symptomatic CMV disease. Active CMV organ dysfunction is not found in the child...

Read more...

ORIGINAL ARTICLE
Sushant S Mane, Mrinal Matish, Ashok D Rathod, Vipin V Goyal Changing Trends in Clinical Presentation of Pediatric Malaria. Read more...

CASE REPORTS
Shalini Avasthi, Sunil Taneja, Ruchi Puri* A case series of Acute Respiratory Distress Syndrome in Children. Read more...

LETTER TO EDITOR (VIEWERS CHOICE)
Midhun Ramesh , Surg. Capt. K. M. Adhikari*, N Kannan A Study to Determine the Clinical Predictors of Favorable Outcome in Childhood seizures. Read more... Bhavana Lakhkar, Bhushan Lakhkar, Abhilasha Stickler Syndrome. Read more...

IMAGE GALLERY

Naren S Dudyala, Basavaraja GV, Keshavmurthy ML, Sanjay KS, Shivananda

A 2 years old boy born to a non consanguineous couple presented with febrile status epilepticus. The child was treated according to our PICU protocol. {Fig. 1} MRI of spine confirmed the above findings. MRI of brain was normal. Metabolic work up, lumbar puncture, blood counts were within normal limits. What is the genetic disorder_?

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

Read more...

Sincerely,
Pediatric Oncall

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Next : December - 2012 Volume-9, 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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