September 2011 Newsletter Volume-8 Issue- 9

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

September 2011 Volume-8 Issue- 9

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September 2011 Volume-8 Issue- 9 (ISSN - 0973-0958)

TABLE OF CONTENTS
Access current issue (September 2011) online Read more...

DIAGNOSTIC DILEMMA

A 7 years old girl presented with multiple episodes of convulsions in 7 days. She is a known case of epilepsy on valproate. She was off the anticonvulsants since last 1 year. She also had received antituberculous therapy (ATT) for 6 months a few years back. MRI brain showed multiple calcified lesions in bilateral temporoparietal region with a solitary ring enhancing lesion at the base of the brain. She was started on Dexamethasone for antiedema measures and was to be started on Albendazole as treatment for Neurocysticercosis but she developed measles.

What should the treatment be in this patient?

Read more...

TEACHING FILES

Ira Shah

A 2 year old girl presented with fever, cough and cold since 4 days. She had received 6 months of antituberculous therapy 1 year back in view of Pulmonary TB in mother and a positive Mantoux test of 10 x 10 mm. On examination, she had crepitations in right inframammary region. Investigations showed right parahilar haziness on Chest X-Ray. She was treated with IV Amoxycillin/Clavulanic acid antibiotic for 5 days but fever persisted. A repeat Mantoux test was 15 x 15 mm.

Should this child be treated with Antituberculous therapy?

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

Last month's teaching file: A 9 years old boy was detected to be HIV infected. His CD4 count was 1078 {30.5%}. At 15½ years of age, his CD4 count was 804 cells/cu mm but HIV viral load was 5,83,300 copies/ml. He is still asymptomatic though his weight was 31.3 kg and height is 144 cm and Tanners Stage 2 of puberty. Should this child be started on antiretroviral therapy {ART}?

Answer: The child was started on ART in view of growth failure...

Read more...

ORIGINAL ARTICLE
Mohit Mittal, Bhavana Lakhkar Physical Features and Neurodevelopmental Outcome in High Risk Newborn Read more...

CASE REPORTS
Gursharan Singh Narang, Jivtesh Singh Pahwa, Neha Singla Celiac Crisis in an IgA Deficient Child Read more...

LETTER TO EDITOR (VIEWERS CHOICE)
Rahul Sinha A Rare Case of Kingella Kingae Osteomyelitis of Left Femur in a Newborn Read more... Ahmad Ghanizadeh Reply to "A Rare case of Primary Polydipsia in Child" Read more... Asok Kumar Datta, Indrajit Mondal Can retina be normal in Aicardi Syndrome? Read more...

IMAGE GALLERY
Rupa Biswas, Sudip Chatterjee, Milan Ruhidas, Shyamal Banerjee 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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UPCOMING CONFERENCES

Pediatric Oncall - 2nd Pediatric Infectious Diseases Conference 2011 on 2nd October 2011, Mumbai. Scientific programme now online. 2 credit hours by Maharashtra Medical Council

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Poll

If a patient is not affording can comes to emergency in severe shock, should the child be admitted in the hospital_?

Yes, the child should be       admitted. Expenses can be       taken care of later
No, initial resuscitation should       be done and then the parents       should take the child to       another hospital
After initial resuscitation,       doctor should accompany child       to another hospital

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Next : September - 2011 Volume-8, Issue-9 [Supplement 9]

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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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