4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
32 month old male, + has history of pneumonia with fever 3x in the last six months, serum IGG=570, serum IGA=39. He has no other medical problems. Can you provide your suggestions?
Answer
Since he has repeated LRTI, one would like to rule out the following:

1.Congenital lung malforamtion (Especially if one lung is predominantly affected)
2. GER (if the right side is predominantly affected.)
3. Cystic fibrosis (ABG would show metabolic alkalosis and he would be malnourished)
4. Underlying immunodeficiency (which seems likely since his serum IgG and IgA are low)
5. Asthma (if causing wheezing and improves with beta agonists)
6. Foreign body

You need to consult a pediatric immunologist as his immunity is low and if he is very symptomatic hypogammaglobulinemia should be ruled out. If he has hypogammaglobulinemia, treatment would be Intravenous immunoglobulin monthly.
 
 
 
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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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