4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
A 4 years old female presented with sudden attack of fever, loose motion. No F\H of favism, or blood transfusion. The O\E: GC is good. She also has striking pallor, no icterus, no hepatosplenomegaly, no significant lymphglands. The lab.values: HBg 6g%, Ret.count 10% , normocytic hypochromic blood picture, normal platelet count, no hemoglobinuria ,no blood in the stool. Can you give some further suggestions to reach diagnosis?
Answer
Since her retic count is high, one needs to rule out haemolysis, be it autoimmune haemolytic anemia, malaria, enzyme defects like pyruvate kinase deficiency. Also bleeding should be ruled out as in dengue fever or viral hemorrhagic fever.
 
 
 
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Today's Poll
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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