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

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	Specialist Answers
Question Category : Autoimmune Disorder
11 year old girl came with complain of pyrexia of unknown origin, pain in abdomen, vomiting. Lab test for malarial parasite, Mantoux, CSF, Chest-xray, USG abdomen - all reports were negative, her initial diagnosis was enteric fever as Widal was mildly positive {1:20,1:60} & Leucocyte count was 3000. Thats why Monocef was given for 1wk. But no response, treatment for malaria was given suspecting Falciparum malaria as anemia was continuously increasing. Again no response. After repeating all the tests, USG Abdomen showed mild ascites, splenohepatomegaly, lymphadenopathy. At this level, her CNS is involved & she was neither opening her eyes nor responding to talk even not for micturation reflex, {responding only for pain}, her CT scan shows mild widening of cortical sulci, 2 Echo shows mild left ventricular hypertrophy, {2pind PCV is given}. Now her ANA was done which is positive {4.38}. Now, patient is well. No fever no vomiting, responding for talk, what to do further???? Check Out the Answer
Question Category : Autoimmune Disorder
An 11 years old patient admitted in our hospital clinical looks like as tuberculosis meningitis. She was started on AKT now her ANA as well as anti dsDNA report is positive & she is announced as a patient of SLE. Is this autoimmune disease sequel of TB-M or not??? and now what is the further treatment protocol??? thanking you Dr. Qudsiya. Check Out the Answer
Question Category : Autoimmune Disorder
Dear sir 16 year old female present with painful petechial eythematous lesion in both lower legs seen by dermatologist, diagnosed as vasculitis.The patient gave history of GN 6y ago. Now she is on captopril+propranol+prednisolone for the last 3y. Prior to that she was given cyclophosphamide for 4months. On exam. Obese healthy, vital sign are normal, GUE is nomal apart from trace albumin, renal function are normal. My questions are; 1.Any relation between vasculitis and activity of the disease . 2.Can we taper the treatment or does she need treatment now. . 3.Is renal biopsy indicated. I am waiting reply thanks. Check Out the Answer
Question Category : Autoimmune Disorder
Current treatment for SLE. Check Out the Answer

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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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