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Discordance Between Fluoroquinolone Resistance Results on Xpert MTB/XDR Panel, Second-line Line Probe Assay and Phenotypic Drug Sensitivity Testing- How to Interpret?
Dhruv Gandhi, Ira Shah
A 10-year-old boy presented in February 2024 with fever for 4 months. His older sister had a past history of pulmonary multidrug-resistant tuberculosis (MDR-TB), microbiologically diagnosed 5 years ba....
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Paediatric Neurocysticercosis: a Case Highlighting the Significance of Dietary and Advance Neuroimaging
Rutuja Patil, Ramchandra Babar
A 13 year old female patient brought by relatives to pediatric outpatient department with sudden, new-onset seizure. Her family reported witness twitching movements of her arms and legs that lasted fo....
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Leukoerythroblastosis in a child with sickle cell disease - what’s the diagnosis?
Tânia Cristina Parreira Lança Pessoa, Joana Pais de Faria, Ana Cristina Silva Paulo da Costa e Castro, Marisa Raquel Inácio de Oliveira, Raquel Dias Batista Maia
A 7-year-old girl with SCD, attending a routine consultation at her referral center, performed a laboratory evaluation that revealed hemoglobin (Hgb) 4,3 g/dL (baseline Hgb 8-9 g/dL), hematocrit 12.1%....
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Congenital Chikungunya in Newborn along with Early Onset Sepsis: How To Interpret?
Vivek Chothe, Ramchandra Babar
A male baby was born at 37 weeks 5 days of gestation via normal vaginal delivery, with the birth weight of 2.45 kg. Amniotic fluid was clear and the APGAR at 1, 5 and 10 minutes were 8, 10 respectivel....
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Cold agglutinin syndrome associated with a pediatric severe systemic Mycoplasma pneumoniae infection
Sara Geitoeira, Inês Paiva Ferreira, Ana Lachado, Lurdes Morais, Paula Cristina Fernandes, Emília Costa, Esmeralda Cleto, Isabel Couto Guerra
A healthy 14-year-old boy presented to the emergency department with a 3-day history of fever, dry cough, sore throat and dizziness. On physical examination, peripheral oxygen saturation was 84% (FiO2....
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Twins with Tuberculous Abscesses in the Left Thigh Vaccination Site - Is it BCG or Mycobacterium Tuberculosis?
Dhruv Gandhi, Aditi Gupta, Shatakshi Garg, Zahabiya Nalwalla, Ira Shah
Patient 1, a 3-month-old girl, born preterm in March 2024 at 34 weeks and 4 days with a birth weight of 1.9 kg, was the first-born twin. She was admitted to the neonatal intensive care unit (NICU) for....
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An infant with seizures with positive human herpes virus 6 on multiplex PCR and positive herpes simplex virus 1 on uniplex PCR - How to interpret?
Ramsha Ansari, Aditi Gupta, Zahabiya Nalwalla, Ira Shah
A 6 month old boy presented in May 2024 with fever, cough and cold for 10 days along with generalized tonic clonic convulsions on day 8 of fever followed by excessive irritability and refusal to feed.....
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Asymptomatic Congenital Parvovirus infection in a neonate born to an asymptomatic mother with Parvovirus infection in the third trimester - Management issues
Zahabiya Nalwalla, Ramsha Ansari, Tsering Yangchen Dirkhipa, Forum Shah, Amol Pawar, Ira Shah
A 29 year old primigravida (G1P1L0A0) was admitted to the hospital following a spontaneous rupture of membrane at 38 weeks of gestation. Antenatal ultrasound (USG) scan at 30+5 weeks of gestation show....
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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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