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 Pediatric Oncall

A 9 years old boy presented with swelling over right elbow 1½ years back that responded to oral amoxicillin/clavulanic acid. 2½ months later same swelling reappeared for that showed presence of tuberculous ulcer and was treated with antituberculous therapy (ATT). He was alright for next 7 months when he had a lymphnode swelling over right elbow. A lymphnode excision biopsy was done that did not grow M.tuberculosis complex even after 6 weeks and histopathology also showed reactive lymphadenitis. What is the cause of the elbow lymphadenopathy?

Ira Shah
A 12 years old HIV infected boy presented with sudden onset left sided choreoathetoid movements which have remained same for past 4 months. There was no fever, headache, vomiting, seizures or altered sensorium. Both parents had died due to AIDS. On examination, apart from left choreoathetosis, there were no other abnormalities. MRI brain showed multiple foci of hyperintense signals in right basal ganglia. CSF examination was normal. What could be the cause of choreoathetosis ?

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

Last month's teaching file: A pregnant woman at 8 months gestation underwent a regular antenatal ultrasound where it was found that the fetus had mild ventriculomegaly. She then underwent a malformation scan and it was found that the child had Dandy Walker variant with subependymal calcifications in the brain with normal abdominal scan. The mother had fever at 3 months of gestation. A TORCH titre was done in the mother and CMV IgG was positive with absent CMV IgM. Karyotype was not advised as there were no other abnormal features. What should be further management?


Answer: is important is to know whether the fetus is infected with CMV infection. Read more...

Ashwin Borade, Anuradha Khadilkar, Neeta Hanumante, Sandesh Runwal
Appropriateness of Use of an Antimicrobial (Betadine) versus Dry Cord Care in Newborns from an Urban Slum.

Rahul Sinha
Proteus Syndrome.

Manju Mittal, Kumar Ankur, Praveen Kumar, B. Rath
Congenital Adrenal Hyperplasia in a male child.


Dipankar Sarkar, Shruti Sarkar.
Ventriculoperitoneal shunt catheter migration through umbilicus, a rare complication.

N D Vaswani

Spot Diagnosis?



Last month's image gallery:
Case 1: Caffey Disease.
Case 2: Tuberous Sclerosis.

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

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