All Grand Rounds

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Differential Diagnostic Challenges During the Covid-19 Pandemic for Pediatricians in an Eastern European Country
Szofia Hajósi-Kalcakosz, Borbála Zsigmond, Andrea Párniczky, Réka Bodnár
A two-year-old girl was admitted to a local hospital in Hungary in March 2020 with fever, difficulty in breathing and one week history of coughing. She had chronic cough, frequent respiratory illnesse....
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Serologic Rebound in Congenital Toxoplasmosis
Beatriz Simões Vala, Vânia Leitão Martins, João Patrício de Sousa e Alvim Bismarck do Agro
A male newborn who was the third child of a non-consanguineous couple was referred for further management on the fourth day of life. Asymptomatic toxoplasmosis seroconversion was detected at 21st....
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Acute encephalopathy: What to suspect and how to prevent?
Vinod Kumar Gupta, Vanita Verma, RK Yadav, Mukesh Vir Singh, Anubha Shrivastava
A 9-year-old girl presented with convulsions followed by unconsciousness. She had fever and cough for one week. On examination, Glasgow coma score (GCS) was 8/15. There were no meningeal signs or foca....
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Desquamating Rash with Hepatitis
Parminder Kaur, Vipul Gupta, Reena Jain, Shivanjali Sood
A seven-year-old female child presented with fever for 3 days, oral ulcers and rash all over the body for one day. She was on sodium valproate at 20 mg/kg/day since a month in view of focal seizures. ....
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Hepatic Encephalopathy due to Hepatitis A – Can age predict need for liver transplant?
Kruti Dhaval Gandhi, Ira Shah
Case 1 An 8-year-old female child presented with fever and lethargy for 8 days, right hypochondriac pain and abdominal distension for 5 days, vomiting for 3 days, oliguria and irrelevant speec....
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Pink Hematuria in an Infant
Mohammed Azar, Aryn Jaitley
An 8 months old girl born of non-consanguineous marriage presented with two weeks history of bright blood spotting in her nappy. These episodes were intermittent with 3-4 episodes per week with multip....
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Itching for an Answer: Managing a Recurrent Evolving Annular Rash in a Teen Girl
Benjamin N. Africk, Bridget Boyd
A 13-year-old female with a history of atopy presented with a recurrent and worsening skin rash for 2 months (Figure 1). Around age 3 years, she developed a scaly, pink patch in the shape of a heart o....
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Recurrent Hyperbilirubinemia in an Infant
Pawan Daga, Ira Shah
A 7-month-old boy was referred for recurrent indirect hyperbilirubinemia since day 6 of life. The child had received phototherapy twice for same in neonatal period. He was also on phenobarbitone. When....
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Massive Hepatomegaly - Can it be acute lymphoid leukemia?
Himali Meshram, Ira Shah
A 9 years old female child presented to our Pediatric Liver clinic with a loss of weight of 2.5 kgs in 6 months, abdominal distension and loss of appetite for 3 months. There was no fever, bleeding ma....
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Persistent Diarrhea in an Infant- Could it be Enteroaggregative Escherichia coli
Himali Meshram, Ira Shah
A one and half month-old male child born of non-consanguineous marriage presented in September 2017 with diarrhea for 20 days. He had 20-25 motions per day associated with occasional vomiting. Antenat....
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