June 2011 Newsletter Volume-8 Issue-6 [Supplement 6]

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

June 2011 Volume-8 Issue-6 [Supplement 6]

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June 2011 Volume-8 Issue-6 [Supplement 6] (ISSN - 0973-0958)

DIAGNOSTIC DILEMMA

A 6 years old boy was detected to have right pleural effusion with positive Mantoux test for which he was started on 4 drug antituberculous therapy {ATT}. One month later, he developed hepatitis and INH, Rifampicin and Pyrazinamide were stopped and ATT in form of Ofloxacin and Ethambutol were continued. His Chest X-Ray was normal in 2 months. After 3 months of Ofloxacin and Ethambutol, his liver enzymes normalized and he was started on INH but developed a rash and thus was stopped. By now, he had completed 4 months of ATT. Should he be shifted to HR or should Ofloxacin and Ethambutol be used to complete treatment?

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NUTRITION QUIZ

A 4 years old girl presented with recurrent watery diarrhea for the past 6 months and edema for past 15 days. Her diet is only on dal and rice with calorie intake of 400kcal, day and proteins of 7gm, day. She had history of pica. On examination, her weight was 8.5kgs Her hair was depigmented and easily pluckable. She had generalized lymphadenopathy, pallor, angular cheilitis and beading of the ribs was present. Tongue was bald. She had conjunctival xerosis. On systemic examination, she was apathetic and had hepatomegaly. Her stool examination showed ova of hookworm, Trichuris trichiura, ascariasis and cysts of E. histolytica.

What nutritional deficiencies does this child have? How should this child be managed? How should this child undergo nutritional rehabilitation? What problems will she have as she grows older?

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RESPIRATORY QUIZ
A 7 years old boy had fever and cough for 2 days with sore throat. Throat swab done for influenza A and B antigen test was positive. The child was immediately put on oseltamivir. The child in addition had a younger brother who was 3 years old and asymptomatic. The mother was also in her 3rd month of pregnancy. Do the contacts need to take oseltamivir? Read more...

PATIENT EDUCATION MATERIAL
Dr Ira Shah Gene Therapy : Read about gene therapy, viruses required to pass on correct gene, genetic disorders, treatment. Read more... Dr Ira Shah Severe combined immunodeficiency (SCID) : Read about What is severe combined immunodeficiency, it's cause, symptoms, diagnosis, their genetic tests available Read More... Read more...

QUESTION OF THE DAY
These are questions asked by our viewers to the experts on the panel of Pediatric Oncall. Want to write death certificate for a child 3 years who had leukemia and had hematemesis and melena and then died. What is main cause of death? What is 2nd cause of death? What is the tertiary cause of death? Read more...

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Harshal Nimkande, Shirish Kadam, Smita Mahajan Spot Diagnosis What is the diagnosis? Try your clinical skills in the - SPOT DIAGNOSIS. for the fortnight and the lucky winner gets a book on pediatrics - courtesy Pediatric Oncall Read more... Sincerely, Pediatric Oncall

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UPCOMING CONFERENCES

Pediatric Oncall - 2nd Pediatric Infectious Diseases Conference 2011 on 2nd October 2011, Mumbai. Avail of reduced rates till 31st August 2011.

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Nutrition Facts

Dietary Inadequacy in First Three Years of Life. Compared to other ages in life, the first three years of life are periods of rapid growth. There is increased energy requirement and micronutrient demand to achieve optimum growth.

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Feeding guidelines for infants and young children in India. Prevalence of underweight rates in Indian preschool children is higher than underweight rates in sub-Saharan Africa.

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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?

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