4th Pediatric Infectious Diseases Conference
 
 
Home  Back   ISSN 0973 - 0958
 
User name :
Password :
Follow Us : Follow On Facebook Follow On Twitter Follow On Youtube
Specialist Answers
Question
This is about a 8 month old boy with complaints of failure to thrive, recurrent high grade fever, gross developmental delay. on examination child has pallor, tachypnea with intercostal retractions, tachycardia, bronchial breathing in infrascapular area bilaterally, hepatospleenomegaly, perianal excoriaton. Investigations done-hb 9.2gm/dl,wbc-22500,serum electrolytes-s.na-118,s.k-4.55,s.cl-100.chest x ray showed left lower lobe consolidation, homogenous opiate infiltrates present bilaterally significantly on right side, ABG showed normal values, at present the child is being treated with oxygen inhalation at 5 lit/min,inj.amoxycillin-clauvulunate,injgatifloxacillin,injmetranidazole,inj flucanozole,salbutomol nebulization along with antipyretics. Present problems are inspite of one month of therapy baby is not showing any signs of improvement and is not maintaining oxygen saturation, kindly advise me how to manage this case further? our working diagnosis is acute bronchopneumonia/tb/immunodeficiency disorders.
Answer
Rule out HIV, TB, immunodeficiency and rule out PCP infection.
 
 
 
Pedi Poll
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
Educational Section
 
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 constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
 
copyright ©2011 website design & development by Levioza
Follow Us
Follow us on :
Folllow Us