4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
A baby born via LSCS, normal APGAR, immediate cry, normal and healthy term AGA develops jerky respiration at 15 days of age, as if to inhale air through the mouth pulling it in by the tongue, mother comes at 1 month of age with the complaint of decreased oral feeding, on examination - Pierre Robin sequence, poor neonatal reflexes, hypotonia, spalding of skull bones, head circumference at birth 34.5 cm, no increase and lethargy. Investigations - CXR normal, echo normal and metabolic panel normal. (H/o death of a normal 3 yr old sibling 3 yrs back - undiagnosed - developmental regression for 4-5 months before death - mitochondrial myopathy??) Present 1 month old baby on full feed through NG tube and occupational therapy to improve swallowing and muscle tone - improvement in tone and activity noticeable since beginning of OT since 5 days, but jerky respiration persists. DIAGNOSIS AND THERAPY?
Answer
Since the child has retrognathia, poor head growth and hypotonia, rule out a genetic disorder. A karyotype would be advisable.
 
 
 
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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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