4th Pediatric Infectious Diseases Conference
 
 
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Autoimmune Disorder
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Specialist Answers
Question
A seven year old male child presented with pain in legs unable to get up from bed. On examination child was having erythme over extremeties mild grade fever and tenderness all over body. DTR were normal. The child was put on paracetamol and amoxcillin and got routine investigation with CPK. CPK was 5000 IU and I diagnosed as myositis . Seven days later symptoms subsided and CPK was normal. Eight months later child came back with similar problem. Subsided again. What is the line of management?
Answer
One needs to rule out autoimmune disorder such as Juvenile Dermatomyositis, Mixed connective tissue disorder etc. MRI of the muscles and specific antibody tests would be useful.
 
 
 
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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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