May 2012 Newsletter Volume-9 Issue- 5

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

May 2012 Volume-9 Issue- 5

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May 2012 Volume-9 Issue- 5 (ISSN - 0973-0958)

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

DIAGNOSTIC DILEMMA
Naji Ahmed A 14 years old girl presented with short stature. Weight is 44kg {25th centile}, length is 144cm {below 3rd centile}. Past medical history reveals affection with alopecia and vitiligo for which she received lengthy courses of steroid. Now she is off steroids. She has dysmenorrhea. Thyroid function tests are normal. How can I manage her? Read more...

TEACHING FILES

Ira Shah

A 12 years old girl presented with recurrent bilateral posterior cervical adenopathy 5 mm in size, mobile, non tender since past 5 years. There is no otorrhoea, recurrent cough, cold or dental caries. Her mantoux test was done which was 25 mm. Chest X-Ray was normal.

Should this child be treated with anti-tuberculous therapy?

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

Last month's teaching file: 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 x 20 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?

Answer:

Read more...

REVIEW ARTICLE
Ira Shah Drug Resistant Tuberculosis in Children in India Read more...

CASE REPORTS
Rajniti Prasad, O P Mishra, Aditya Gupta Gangrene of left hand following accidental intra-arterial injection of phenytoin sodium Read more...

LETTER TO EDITOR (VIEWER'S CHOICE)
Shalini Avasthi, O P Bhatt, Sunil Taneja, Samarth Vohra METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS MENINGITIS WITH BELL`S PALSY Read more... V Poovazhagi, S Thangavelu, S Shanthi Chemotherapy Induced Diabetic Ketoacidosis in a child Read more...

IMAGE GALLERY

Rakesh Kumar, Puja Bhagat

A 6-years old male child, born of non-consanguineous parents was admitted with complains of paleness of the body and bleeding from gums since one year. He had been treated with multiple blood transfusions. Bone marrow examination done outside showed hypocellular marrow with depression of all the three cell lines. 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 : May-2012 Volume-9, Issue-5 [Supplement 5]

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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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