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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....

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 21^st....

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....

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. ....

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....

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....

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....

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....

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....

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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