4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
A 6 year old boy,second child of a non consangous marriage,(has an 9yrs old brother,normal)presented with weakness,repeated falls while walking, lumber lordosis, wadling gait and positive Gower sign for last four months.Also there is history of mild/moderate birth asphyxia and delayed motor mile stones.(now the in telligence is normal)On examination there is no sensory involvement. Child has a characterstic marfanoid facies(dolicephaly,high arched palate, thin long extremities etc).Mother also tells about repeated chest infections during infancy and childhood.CPK=8625I.U./dl, muscle biopsy:fraying of muscle fibers,internalization of nuclei and variation in size of muscle fibers.No family history of similar illness. Please help in making an definitive diagnosis.
Answer
It is suggestive of a muscular dystrophy. Get a DMD gene analysis done.
 
 
 
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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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