4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
Hi, I have a 10 year old female patient, from a migrant family of UP with poor S.E, status and a F.H of Kochs. She complaints of persistent cough, L.G.F. and pain in left lower chest on deep inspiration. Mx was positive, ESR 78, TLC 5,800 with lymphocytosis. X-ray of the chest suggestive of Rt. lower zone Pleural thickening, hilar shadows prominent and Ultra sound showed a pocket of encysted Pleural Effusion which was tried to be aspirated with a U/S guided needle but the tap failed. Patientreceived ATT -PZM, Rifa ,INH, Ethambutol for 2months but the encysted Effusion did not get reabsorbed, although the consolidation was resolved. ATT was continued for 6 months(PZ was stopped after 2months). AS the P.E. persisted a 6 weeks course of Prednisolone, Ofloxacin and 60 shots of STM also given. A CTS at the end of 9 months Rx still shows a very small pocket of encysted fluid. 1. Should ATT be discontinued or be given for somemore time? 2. Any need for a surgical intervention? Apparently the child seems to be fully cured. Dr. J.S. Chugh Consultant Pediatrician, S.N.S. Pahwa Hospital,Ludhiana.
Answer
ATT may be continued for some more time. Get the HIV tested.
 
 
 
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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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