4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
A 6year old Hindu male boy, a product of non consanguineous marriage, home del uneventful postnatal period, Ht:- 98 cm/ Wt:- 13 ½ Kg. presented with History and features of sudden tonic extension of neck with occasional upward gaze, duration lasted for a fraction of a second to 2 sec. and several times/day. O/E no neuro deficit was detected during attack. Consciousness was preserved. No H/O passage of urine or stool during attack. No F/H/O epilepsy or stroke. BP of the child - 97/69 mm of Hg. EEG reveals and interpreted by an adult neurologist - drug induced (pedichloryl) sleep record shows diffuse slowing mixed with fast beta activity. There is spike and slow wave pattern with lots of artifacts. Please help me in arriving at a diagnosis and treatment protocol.patient. is very poor and cannot afford CT scan. Dr. Binayak Roy.
Answer
Rule out epilepsy, SOL and dystonia. An MRI may be needed in addition to EEG.
 
 
 
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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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Yes, under guidance of an infectious disease expert
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