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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....

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....

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.....

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....

Haemophilus influenzae type b complicated meningitis in an unimmunised immunocompetent child

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....

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....

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....

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....

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-....

Positive Interferon-gamma Release Assay Result in a Child less than Two Years of Age: How to Interpret?

Dhruv Gandhi, Ira Shah

A 6-month-old boy presented in July 2024 with a right knee swelling and an inability to extend the right knee for 2.5 months. The swelling developed 10 days after receiving the Pentavalent vaccine in ....

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