4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
An Infant of 6 month old ,born from a consanguineous marriage, with a history of birth asphyxia, developed intermittent fever since 5 months. This was accompanied with hypotonia, developmental delay, treated by antimalaria was quinin infusion and cefitriaxon for persumed sepsis but fever persists , hb electrophoresis AS , torch screen was normal urine showed Wbc > 20. The infant was treated for UTI according to culture but showed no response. Bone marrow revealed eosinophilia. mantoux was 9 mm , trial by antiTB started 20 days ago but she still is febril, hypotonic more pale Brain CT scan showed mild cortical atrophy. What you suggest to do with this child?
Answer
Since she has eosinophilia, one should rule out malignancy, Hyper IgE syndrome and idiopathic hypereosinophilia syndrome.
 
 
 
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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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