4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
4 month baby was admitted with excessive crying which resolved in 2 hours. As a part of investigation x-ray was done which showed cardiomegaly(ct ratio 80%).The Treating physician considered possibility of dilated cardiomyopathy just because of cardiomyopathy after 2 hours of admission patient was asymptomatic. o/e showed no murmur no other significant finding .Then 2D ECHO was done which was absolutely normal. Still the physician insisted that it is dilated cardiomyopathy and started on carvedilol and digoxin. Is it rational?
Answer
Since the echo is not showing any cardiomegaly, pericardial effusion or cardiac dysfunction, one would have to recheck the X-ray. If it is an expiratory film, it is not possible to comment on the CTR. Also is superior mediastinal widening or the thymic shadow? A lateral x-ray would be useful. There is no need to start any treatment till the diagnosis is confirmed.
 
 
 
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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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