4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
A 3 years old female child born by section at term,because of non progress due to feto-pelvic disproportion.She had an apgar score of 8-9. She was kept in incubator for three days because of LBW 1900 gms. Discharged in good gen condition on breast milk, the baby showed moderate floppiness and delay of developmental psychomotor milestones. Thorough investigations including karyo typing, aminoacid screening,metabolic diseases did not show any abnormality, CBC,WBCs,BS,liver and kidney tests were all within normal values. I saw the child for the first time last week, clinical examination 10.5 kgs girl,with poor sluggish spontaneous movement, needs help to initiate standing and walking, proceeding with assistance, blood presure 100/65 mmHg ,Ht 93 cm and HC 48 cm. her attitude seemed to be like autism children with poor interest with surrounding heart and lungs were within normal,abdomen soft non tender,no organomegaly the only abnormal finding was the shape of both wrists they looked like having lower radis fracture and a very small extra phalanx with with clear articular movement at that level to receive a diagnostic hint or suggestion I will be very thankful and appreciate.
Answer
Get an MRI done to rule out birth asphyxia, metabolic disorders. Also get her evaluated by a pediatric genetics to rule out a syndrome as she has few birth defects.
 
 
 
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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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