4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
Children in the age group of 5-15 yrs presenting with fever 7 days, ascites, bilateral pleural effusion, some with seizures, delirium,no icterus or pallor,hepatosplenomegaly in some, dengue and malarial test negative.mild liver enzymes elevation in 100s,with prerenal failure..., lepto igM positive, but mat for lepto normal panbio <3 units are currently treated as gram neg sepsis. what else could it be?
Answer
What is the sensitivity of the leptospira test. In Mumbai it has been found that Leptospira tridot is more reliable as compared to the ELISA test.
One must also keep in mind dengue and repeat the dengue IgM by Panbio after a week. If possible a rising dengue IgG titre done 14 days apart will be useful.
You may treat the child as leptospira and dengue.

 
 
 
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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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