4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
A 9 years old female child weighing 28 kg - at US for the past three months now has fever since twelve days Father was treated for TB 15 years back. GC is good - Urine=NAD and leucocytosis is the only positive finding (Hb, Platelets & ESR normal-- Mx negative) Widal MP was not done. X-ray of chest showed fluid in the R pleural cavity. Aspiration was not done. Can SAARS be a DD in this case. Can you give further guidance please
Answer
Do a pleural tap and check the pleural fluid for the same. Rule out empyema and bacterial infection since there is leucocytosis. With viral infection, there would be lymphocytosis or lymphopenia and even thrombocytopenia.
 
 
 
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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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