4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
9 years old girl presented with high fever with significant cervical lymphadenopathy. spleen initially was 2 cm and no other significant clinical finding. routine inv, GBP, MP, widal, urine cultures, MX test, usg, X-RAY CHEST, USG, ECHO, FNAC lymph node all were non conclusive. has received antimalarial, iv ceftriaxone and other supportive Tt prior to admission. No history of cough, joints pain, vomiting, significant weight loss. Kindly suggest probable Diagnosis and further investigations. bone marrow, collagen profile and paul bunnel test report awaited.
Answer
What is the HIV? Also rule out CMV, EBV, Rubella and Toxoplasma. If still inconclusive then lymphnode biopsy may be advisable as FNAC may not always show a proper result.
 
 
 
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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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