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Lower motor neuron facial palsy in CNS tuberculomas
Ira Shah, Drishti Tolani
An 8 years old boy presented with fever for 19 days with left sided upper limb monoparesis and left lower motor neuron (LMN) facial palsy for 1 day. Cerebrospinal fluid (CSF) showed 25 mg/dl proteins,....
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Continued Neurological Damage in HIV Infected Despite Antiretroviral Therapy
Ira Shah, Drishti Tolani
A 13 years old HIV infected boy on ART since 6 years of age presented with progressive increase of involuntary movements of left side of body with increased tone in Sept 2011. He was diagnosed to have....
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Granulomas in Chronic Granulomatous Disease
Ira Shah, Anmol Goyal
A 3 years old boy suffering from chronic granulomatous disease (CGD) presented with fever and cough. He was detected to have CGD at the age of 1 year 4 months in view of persistent pneumonia and a pos....
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Acute Liver Failure due to acetaminophen toxicity - How to treat?
Ira Shah, Parth Gada
A 21 months old boy presented with fever, cough, cold for 4 days, drowsiness for 2 days and one episode of convulsion. He had been treated with oral paracetamol for the initial 2 days of fever every 4....
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Refractory Iron Deficiency Anemia
Minhajuddin Ahmed Shweta Goyal Shweta Anand
A 10-year-old male child came to our out-patient department (OPD) for evaluation of refractory anemia. He had received adequate dietary and oral iron supplementation but still required multiple blood ....
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Dermal swellings, joint contractures but no gingival hypertrophy
Ira Shah
An 18 month old girl born of third degree consanguineous marriage presented with gradual restriction of movements in both the limbs for 6 months. Patient had flexion contractures of both ankles, knee....
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Neonatal cholestasis in an infant with Rh incompatibility
Ira Shah
A 1 ½ months old boy was referred for jaundice with clay stools since birth. There was history of Rh incompatibility which led to jaundice in neonatal period that required phototherapy and exchange tr....
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Recent Conversion of Tuberculin Skin Test
Ira Shah
A 5 year old girl weighing 14kgs was referred in view of positive Tuberculin skin test {TST} {15mm by 2 TU} in November 2015. She had been tested as she had fever for 3 days but was currently asymptom....
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Chronic diarrhea with fever
Ira Shah
A 1 years old boy born of non-consanguineous marriage presented with recurrent watery, foul smelling diarrhea and fever for 2 months. He was treated with antibiotics, steroids and lactose free milk. H....
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Multiple ulcers in the terminal ileum
Ira Shah
A 16 years old boy presented with abdominal pain and intermittent low grade fever for 3-4 months. An ultrasound {USG} abdomen showed multiple lymphnodes with bowel wall thickening of ascending colon, ....
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