4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
Dear pediatric oncall, I have a child with the following symptomatology- fever past 7 days, dysentery and now melena past 4 days, altered sensorium, thrombocytopenia, mild azotemia, grossly deranged LFT'S, peripheral smear could not be sent pre BT, normal CSF examination and electrolytes. He has a normal urine output so far. PT PTTK MILDLY DERNAGED. Till now it has received 2 BT’s , one PRP,IV ANTIBIOTICS. Could it be TTP ( throbotic thrombocytopenic purpura) But the liver derangement doesn't explain it. Please give me few alternate diagnoses?
Answer
What is the urine test and renal function tests? Rule out Dengue, Leptospira, Malaria and DIC. HUS is a possibility if there is hematuria or renal failure.
 
 
 
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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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