Abdominal Lymphadenopathy With Splenic Microabscesses

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Infections

Clinical Tools

Clinical Vignettes

Diseases & Conditions

Drugs Interaction Calculator

Podcasts

Patient Management Online

Diagnostic Dilemma

Question of the Day

Medical Quiz

Interactives

Ask Queries

SPECIALIST ANSWERS

Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

Video Podcast

Videos in Medicines

Medical Training Videos

Clinical Video Resource

Videos on Asthma

Audio Cast

Lecture on Pediatrics

Medical Training Audios

Clinical Audio Resources

Audios on Asthma

Mobile (wap)

Staying connected to Pediatric Oncall is now easier with Pediatric Oncall Mobile . You can now download selected content from the latest issue of Pediatric Oncall.

Research Grant

FIND DIAGNOSIS

VACCINE REMINDER

Get the Vaccine Schedule for your child."

	Specialist Answers
Question
A woman is hiv positive. She has delivered 4 days back. Postpartum her tuberculin test positive. Hence she was further screened for kochs. On USG she is having abdominal lymphadenopathy with splenic microabscesses.Physician says that it is a case of abdominal kochs.sputum is negative. CHEST X-RAY IS NOT SUGGESTIVE OF pulmonary kochs. Physician says that though it is not an open case. It can be disseminated kochs. AND sputum report can be false negative. Should we start prophylactic antitubercular therapy to the baby considering it as a case of contact mother is going to breast fed the baby. We have similar case i.e. similar finding but whose afb culture came positive 3 weeks later.
Answer
If a pregnant woman with active pulmonary tuberculosis is sputum negative during the last three months of gestation, the risk to infant is negligible. However since the mother is HIV infected and has abdominal kochs with splenic microabscesses, then she may have occult pulmonary TB that may be not seen on the x ray chest in an immunosuppressed state. In such a situation, it would be better to screen the child for TB by doing an x ray chest and a Mantoux test and if suggestive of TB,AKT would be needed. If negative, one may consider INH prophylaxis for the child in view of strong suspicion. Back to All Questions

Diseases & Conditions

Pediatric Oncall Journal

Pediatric Conferences

Ped Tools

Adverse Drug Reactions

Head circumference Calculator

Mid parental height Calculator

Body surface area Calculator

BMR Calculator

Temperature Calculator

Anion gap Calculator

Today's Poll

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

Vote

Results

Pediatric oncall book store

Partner Sites

Infection in Children

Pedcall

Medical ADRIS

Vaccine Reminder

Pediatric Oncall Journal

Educational Section

Disclaimer:

The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.

Sitemap For Doctor

Sitemap For Parent

Sitemap For Kids