4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
A 7 months old female child previously treated for obstructive hydrocephalous with VP Shunt at the age of 4 months, now is presenting with acute onset of fever and floppiness of all limbs of 4 days duration. O/E Hypotonia more in LL, DTR just present, Plantar- Bil. Flexor. Other systems- WNL. What is probable clinical diagnosis before proceeding to Investigations?
Answer
What is her immunization status? Is it a lower motor neuron involvement of upper motor neuron? What about cranial nerves and signs of raised ICT? If anything suggestive of raised ICT or cranial nerve involvement or UMN lesion, one must rule out SLIT VENTRICLES and shunt infection. If LMN type rule out GBS, polio.
 
 
 
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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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