4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
A 4 days old neonate brought with complaints of convulsions, which appeared on day 3 of life, GTS,4 episodes, each episode lasted for few minutes. Antenatally mother had PIH, taken antihypertensives. But delivered at home. Delivery was assisted by dai. Baby cried immediately after birth. After delivery they consulted local doctor as baby was tiny. Birth weight is 1.5 kg. Baby was not fed properly for initial 2 days. On examination, Asymmetrical IUGR, Lethargic, Icterus present, plethoric conjunctiva, Vitals are stable, AF is level CNS Examinatioin-lethargic,no cry and activity,pupils-NSRL,NNR-absent, hypotonia other systems are normal INVESTIGATIONS:Hct-59%,TSB 15mg%,Sepsis screening-negative, CSF analysis-normal, RBS and Calcium ,Mg, Electrolytes are normal. NSG-cerebral edema NO seizures after admission, But baby is lethargic. What is the diagnosis?
Answer
Rule out Hypoxic ischemic encephalopathy and inborn errors of metabolism.
 
 
 
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Today's Poll
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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