A 5½ years old girl presented with cough, cold and tachypnea for a month along with loss of appetite for which child had been started on 4 drug anti tuberculous therapy (ATT) by her physician. Mantoux test was negative.Chest X-Ray showed bilateral reticulonodular shadows in both mid-zones. ESR of 110 mm. CT chest showed mild bronchiectasis of both lower lobes of lungs with peribronchial thickening.

What is the diagnosis in this child? Does the child have TB? Why does she have bronchiectasis?

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?

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?

Ira Shah
Selective IgA Deficiency Read about what is selective IgA deficiency, cause, symptoms, diagnosis, treatment.

Ira Shah
X-Linked Agammaglobulinemia (XLA) Read about what is X-linked agammaglobulinemia, symptoms, cause, treatment, inheritance.

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