User Name Password Remember Me  
 
 
   
Video Podcast
Audio Cast
Mobile(WAP)
  Pedi Poll  
Is childhood obesity on the rise? Are children becoming fatter?
Yes
No
  Translate This Page  
 
SPECIALIST ANSWERS

Question

dear sir, There is this 8 year old boy admitted to my ward with polyarthritis for the past 5 days prior to admission and also fever for 4 days.On admission he had a severe arthritis involving bilateral ankle joint, knee joint,rigth elbow joint and also left metacarpophalengeal joint. CVS/RS/ABdo : normal LAb : TWC : 20.5, HB : 11g/dl, PLT : 605,000 ESR : 100 ANA : negative ASOT : negative blood C and S : no growth,Urine C/S : NG previous history of impetigo Xray of all joints were normal. Cxray : normal We treated him as Acute Rheumatic Fever (major -polyarthritis,minor :- ESR and Fever) and started him with aspirin 25 mg/kg/dose qid. But as the days passed his temperature has not settled yet but his arthritis has settled.We have stopped his aspirin as the arthritis have improved and he can walk now but his temperature still has not settled.his temp spikes from 37 to 40 degress and he almost always has 3-4 spikes per day. today is day 9 of his admission and day 14 of fever with arthritis,hsi fever is still not settled.We have chnaged his antibiotic from C peniciilin to IV Ceftriaxone. What are the differential diagnosis tp consider here?

Answer

A differentail diagnosis of systemic onset JRA, macrophage activation syndrome and autoimmune disorder should be considered. Since the child had fever along with arthritis, one would suspect acute rheumatic fever lower on the list as the fever usually precedes the arthritis and is not along with the arthritis. ONe may need to monitor the fever, ESR and CRP to decide whether steroids are necessary and if persistent even disease modifying agents may be required.
  Grants  
 » Apply For Research Grant
  Search  
Hospitals
Pediatrician
Special Schools
Medical Colleges
Pediatric Residency
Pediatric Conferences
Jobs & Vacancies
Journals
NGO's
  Ped Tools  
Pediatric Calculator
Drug Index
Medical Equipment
Vaccine Reminder
Adverse Drug Reactions
Biochemical Profile
Online MCQ's
  Calculators  
+ Growth
+ Conversion
+ Renal
+ Pregnancy
+ Blood Pressure
+ Blood Group
+ Critical Care
+ Drug Dose
+ Diarrhea Solution
+ Reference Values
+ Antibody Test
+ Drug Interaction
 
 
Parent Corner l Kids Corner l Terms & Condition | Privacy Statement l Advertising l Feedback l Awards
About Us
l Link to Us l Site Map l Shopping Mall  
Partner Sites
 HIV in Children  Infection in Children  Pedcall  Medical ADRIS  Vaccine Reminder  Pediatric Oncall Journal

Copyright© 2000-2008 All rights reserved with Pediatric Oncall

Disclaimer:The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitue an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.

 
Sitemap For Doctor | Sitemap For Parent | Sitemap For Kids Site designed and maintained by Levioza