June 2012 Newsletter Volume-9 Issue-6 [Supplement 6]

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

June 2012 Volume-9 Issue-6 [Supplement 6]

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

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June 2012 Volume-9 Issue-6 [Supplement 6]
(ISSN - 0973-0958)

DIAGNOSTIC DILEMMA

A 4½ years old girl presented with tuberculous meningitis, psoas abscess and epidural abscess. She was treated with 4 drug antituberculous therapy (ATT). However she developed morbilliform rash and fever with elevated liver enzymes (SGPT = 139 IU/L, SGOT = 225 IU/L) due to ATT. She was then shifted to alternate ATT consisting of Ciprofloxacin, Ethambutol & Streptomycin and antibiotics were withheld. Her liver enzymes decreased & fever and rash subsided.

Which antituberculous agent is the likely cause?

Previous Diagnostic Dilemma : Dilated Cardiomyopathy.

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QUESTION OF THE DAY

What is the treatment of chronic ITP in children less than 4 yr and platelet mostly between 30000-60000

While nebulising with nebulisation chamber, should the total volume of the liquid be made to 3 ml with normal saline or just the drug dose { 0.5 ml } of salbutamol sufficient , is there any contraindications or special indications for diluting with normal saline
These are questions asked by our viewers to the experts on the panel of Pediatric Oncall.

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IMAGE GALLERY

Rahul Sinha, Vandana Negi, S S Dalal

A 5 year old boy presented history of progressively increasing painless swelling in the right ankle for 2 years. The parents also noted similar swellings in lower and upper aspect of right thigh and right elbow about 3 months later. There was no history of recurrent fractures or any hemangiomas. Birth history and milestones were normal. No other family member was affected. X-ray of right ankle, right lower end of femur and pelvis revealed radiolucent, homogenous lesions with oval or elongated border and well defined slightly thickened bony margin. 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

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Pediatric Oncall

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