4th Pediatric Infectious Diseases Conference
 
 
Home  Back   ISSN 0973 - 0958
 
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Specialist Answers
Question
A 2 month old child came with h/o of poor weight gain and fever for 2 weeks. The child was found to have generalized lymphadenopathy and malnourished, no BCG scar, hepatosplenomegaly. Otherwise all work outs are normal. Mother found to be retroviral positive and the child does not have a BCG scar. Can disseminated BCG tuberculosis be a differential diagnosis. How to confirm?
Answer
Since the mother is retroviral positive, first rule out HIV infection in the child as all the findings can be due to HIV.
To prove disseminated Tb, look for evidence of TB. Are there any Xray finding? Does the child have significant axillary LNs for BCG adenitis? Did the child actually receive BCG? Confirmation for Disseminated Tb can only be done by lymph node biopsy.
 
 
 
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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
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