All Grand Rounds

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Cheek cysticercosis - To Treat or Not to Treat
Dhruv Gandhi, Shatakshi Garg, Zahabiya Nalwalla, Balagopal Kurup, Tejas Athalye, Sunita Sharma, Ira Shah
A 14-year-old boy presented with a painless, progressively enlarging right cheek swelling for six months. There was no fever or trauma. He had a mixed dietary pattern. On examination, there was a soli....
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Successful Recovery from HHV-6 Encephalitis in an Immunocompetent Child
Vaidehi Mehta, Suhani Jain, Meenakshi Dey, Ira Shah
A 2-year-old female child presented with a 10 day history of persistent fever and an episode of paroxysmal event on the 1st day of illness. Her family history was unremarkable and vaccinations were up....
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Discordance Between Xpert MTB/RIF Assay and Line Probe Assay- How to Interpret?
Dhruv Gandhi, Aditi Gupta, Zahabiya Nalwalla, Ira Shah
A 2-year-old boy presented with a progressively enlarging painful swelling over the right cheek for 8 days. It was associated with fever. There was no facial trauma, toothache, dysphagia, neck swellin....
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Polymicrobial infection in immunocompromised host - How to manage?
Meenakshi Dey, Suhani Jain, Ira Shah
A 2 year 9 month old male suffering from STAT1 gain of function mutation on whole exome sequencing diagnosed at the age of 6 months in view of recurrent pneumonia presented to us with fever and cough ....
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Discordance between mycobacterial tuberculosis whole genome sequencing and phenotypic drug sensitivity - How to interpret
Meenakshi Dey, Suhani Jain, Ira Shah
A 14-year-old female presented in August with complaints of cough, easy fatiguability, shortness of breath for the past 2-3 months. She also had a 6.5 kg weight loss in the past 8 months and no menstr....
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Hereditary Spherocytosis with splenectomy in a Pregnant Woman - How to manage the immunizations?
Tsering Yangchen Dirkhipa, Suhani Jain, Meenakshi Dey, Ira Shah
A 38 year old female, G3P1L1A1 at 31+4 weeks of gestation with expected date of delivery in February 2024 and a known case of hereditary spherocytosis with splenectomy done 11 years back in 2012 (at 1....
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Interpretation of Cytomegalovirus (CMV) serology
Meenakshi Dey, Suhani Jain, Ira Shah
A 31 year old primigravida at 12 weeks of gestation was referred to us for evaluation based on the results of a TORCH panel. The test indicated that her cytomegalovirus (CMV) IgG level was 280 Au/ml a....
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Nocardiosis in an immunocompromised child with peripherally inserted central catheter - how to treat?
Zahabiya Nalwalla, Tsering Yangchen Dirkhipa, Ira Shah, Venkata Rama Mohan Gollamudi
A 12 year old boy was diagnosed as Non-metastatic Ewing’s sarcoma of left scapula in July 2021. He was receiving chemotherapy and a peripherally inserted central catheter (PICC) line was inserted for ....
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Hematemesis in a child with beta thalassemia
Himali Meshram
A 14 year old girl presented to us with hematemesis in April 2016. She was diagnosed to have heterozygous HBE thalassemia at the age of 2 years. Since then she was on regular blood transfusions. Her ....
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Glycogen Storage Disease - Type 3
Suhani Jain, Ira Shah
A 9-month-old female child was referred for asymptomatic hepatomegaly detected by the local physician. Her birth history was normal and she had achieved milestones as per her age. The child had no fam....
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