All Grand Rounds

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Ludwig’s Angina with Internal Jugular Vein Thrombosis - How to Manage?
Dhruv Gandhi, Devina Pande, Reepa Agrawal, Ira Shah
An 8-year-old boy presented in September 2024 with intermittent fever, right-sided neck swelling near jaw, difficulty in swallowing and opening the mouth 5 days after a dental procedure. He was diagno....
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Disseminated Cytomegalovirus infection in an infant with congenital heart disease - Management issues
Sheryl Chettiar, Reepa Agarwal, Aditi Gupta, Alpana Utture, Ira Shah
A 2-month-21-day old male infant presented with respiratory distress, jaundice for 4 days, intermittent clay-coloured stools for 12 days and one episode of convulsion. He was diagnosed with moderate v....
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Majocchi's Granuloma: A Rare Form of Tinea Corporis in an Immunocompetent Adolescent
Ariana Tavares, Inês Azevedo, Miguel Costa, Diogo Teixeira
A 17-year-old female adolescent, previously healthy, was evaluated in pediatric consultation for an erythematous desquamative lesion on the lateral aspect of the right leg, associated with pruritus an....
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Maxillary Sinus Tuberculosis with Lower Motor Neuron Facial Palsy: A Rare Presentation
Dhruv Gandhi, Ira Shah
A 5-year-old male was diagnosed to have Rosai-Dorfman disease in 2006 for which he received chemotherapy with vincristine, methotrexate, 6-mercaptopurine, cyclophosphamide, prednisolone and celecoxib.....
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Untreated Hepatitis B in a pregnant lady and breast feeding
Sheryl Chettiar, Aditi Gupta, Reepa Agrawal, Ira Shah
A 28-year-old married female presented with incidental finding of positive hepatitis B surface antigen (HBsAg) during her routine 4th month antenatal workup. Pregnancy was confirmed using a urine preg....
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Haemophilus influenzae type b complicated meningitis in an unimmunised immunocompetent child
Madara Grise
Previously healthy, unimmunised, one year and ten months old boy with fever, breathing difficulties, vomiting and cough that had lasted for 4 days, was brought to the tertiary level university hospita....
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From Headache to IIH: A Pediatric Case with an Unexpected Twist
Sneha Rani, Akanksha Sancheti, Hannah Becker, Mayra Matar, Neha Bhagi
A previously healthy 11-year-old male from Venezuela presented to the emergency department with a two-week history of increasing headaches, nausea, vomiting and new-onset visual disturbances, mimickin....
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Constipation as a Presentation of Duchenne Muscular Dystrophy
Dhruv Gandhi, Ira Shah
An 8-year-old boy presented in November 2024 with abdominal distention, intermittent vomiting and an inability to spontaneously pass stools requiring multiple enemas for 1 month. He had progressive in....
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Severe Hypokalemia in An Adolescent: Unraveling the Mystery of Gitelman Syndrome
Ramchandra Babar, Nikhil Pawar
A 16 year old female presented in OPD with complaint of severe pain in lower limbs for 2 days, with reduced oral intake and generalized weakness, on presentation she was lethargic, sunken eyes and los....
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Pyrexia of Unknown Origin in a Child: How to Approach?
Dhruv Gandhi, Ira Shah
A 6-year-old boy presented in August 2024 with high-grade fever for 15 days. There was no nausea, vomiting, abdominal pain, loss of weight or appetite. On presentation, weight was 24 kg (between 75th-....
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