February 2012 Newsletter Volume-9 Issue- 2

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

February 2012 Volume-9 Issue- 2

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

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February 2012 Volume-9 Issue- 2 (ISSN - 0973-0958)

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

DIAGNOSTIC DILEMMA
A 4 year old child presented with seizures (GTC - clenching of teeth) 1 day back and hematemesis (coffee coloured) next day morning. On examination, there was no abnormality detected. Investigations showed normal platelet count and prothrombin time (PT) and partial thromboplastin time (PTT). What could be the cause of hematemesis? Read more...

TEACHING FILES

Ira Shah

A 12 years old boy presented with progressive abdominal distension since 8 months and edema feet for 1 week. There is no jaundice, bleeding from any site or fever. He was treated with antituberculous therapy (ATT) for 3 months but had no relief. There is no history of blood transfusion or any other disorder in past. On examination, he has dilated veins over abdomen with flow below-upwards, massive ascitis and hepatosplenomegaly.

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: A 14 months old boy born of third degree consanguineous marriage presents with sudden inability to stand or sit since 15 days. There is no restriction of movement in upper limb. There is no convulsion, bladder or bowel complaints and no trauma. The child has fever since 3 days. His milestones and immunization history is adequate. There is no history of TB contact. On examination, the child has hypertonia in both lower limbs with decreased power and brisk reflexes in both knees. What is the diagnosis?

Answer: Sudden onset paraplegia.

Read more...

REVIEW ARTICLE
Ambika Hariharasubramony, Sujatha Chankramath Management of Infantile Hemangioma. Read more...

CASE REPORTS
Mukul Aggarwal, Vikrant Sood, K C Aggarwal, Archana Aggarwal Acute Disseminated Encephalomyelitis- Myriads of Presentation. Read more...

LETTER TO EDITOR (VIEWER'S CHOICE)
Marwah Ashish, Marwah Poonam Amniotic Band Syndrome. Read more... Kaustav Nayek, A Banerjee, N Ghosh, S Pati Down syndrome and Hemihypertrophy. Read more...

IMAGE GALLERY

Gurmeet Singh, Reena Sood

A 3 years old girl presented with knock knees and polydactyly. She was first in birth order and single child born to non-consanguineous married parents and had normal milestones. She also had brittle nails. On examination, she had thin hair, slightly elongated face, serrated incisor margins, absent incisor teeth, pegged teeth and transposition of teeth apart from genu valgum and polydactyly. What is the diagnosis_?

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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For treatment of tuberculosis, should anti TB drugs be given as fixed drug combination {FDC} or singly?

FDC can be given as it is easy to give just one tablet
Drugs should be used singly to achieve optimum blood levels

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Next : February-2012 Volume-9, Issue-2 [Supplement 2]

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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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