August 2011 Newsletter Volume-8 Issue- 8

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

August 2011 Volume-8 Issue-8

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August 2011 Volume-8 Issue- 8 (ISSN - 0973-0958)

TABLE OF CONTENTS
Access Current Issue (August 2011) online Read more...

DIAGNOSTIC DILEMMA

Sudipta Das

I am treating a boy who is now 3 year old. At the age of 8 month he presented with poor weight gain and urinary tract infection {UTI}. He was diagnosed as a case of posterior urethral valve {PU valves} after micturating cystourethrogram {MCU} by Pediatric Surgeon. He was undergone cystoscopy 3 times. But even after that his posterior urethra is dilated. He is currently 13 kg with height of 95 cms. I am interested to know about further management and prognosis of the baby.

Read more...

TEACHING FILES

Ira Shah

A 9 years old boy was detected to be HIV infected. His CD4 count was 1078 {30.5%}. At 15½ years of age, his CD4 count was 804 cells/cu mm but HIV viral load was 5,83,300 copies/ml. He is still asymptomatic though his weight was 31.3 kg and height is 144 cm and Tanners Stage 2 of puberty.

Should this child be started on antiretroviral therapy {ART}?

Read the entire teaching clinical query in the section of "TEACHING FILES" and try the correct answer.

Last month's teaching file: A 12 years old child, a diagnosed case of RHD with MR with MS with mild PH presented with increasing breathlessness since 8 days. On examination, he had irregularly irregular heart rate of around 160/min, respiratory rate of 44/min, blood pressure of 92/60 mm of mercury, cardiomegaly and hepatomegaly. What is the diagnosis?

Answer: Atrial Fibrillation (AF)

Read more...

ORIGINAL ARTICLE
Poovazhagi V, Prabha Senguttuvan, Padmaraj R Outcome of acute renal failure in children with Diabetic keto acidosis (DKA). Read more...

CASE REPORTS
Jayashree Nadkarni, Thanga Sarvanan, Rashmi Dwivedi Chediak - Higashi Syndrome in Accelerated Phase at Initial Presentation. Read more...

LETTER TO EDITOR (VIEWER'S CHOICE)
Patil SV, Kalyanshettar SS, Naren SD, Kiran kumar Recurrent vomiting in a child; a rare case of Isovaleric Acidemia. Read more... Pishva Narjes, Alian Zahra, Haghighat Mahmood, Moslehi Mohammad Ashkan The role of Breast Milk in Prevention of H. pylori Infection in Early Infancy. Read more...

IMAGE GALLERY
Alka R Chaudhari, Purva R Chaudhari What is the diagnosis? Try your clinical skills in the "SPOT DIAGNOSIS" for the fortnight and the lucky winner gets a child health CD - courtesy Pediatric Oncall Read more... Sincerely, Pediatric Oncall

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UPCOMING CONFERENCES

Pediatric Oncall - 2nd Pediatric Infectious Diseases Conference 2011 on 2nd October 2011, Mumbai. Avail of reduced rates till 31st August 2011. 2 credit hours by Maharashtra Medical Council

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Poll

Should INH prophylaxis be given to all HIV infected children?

Yes, it will help to prevent TB
No, it will lead to drug resistant
More evidence is required before this is implemented

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Next : August - 2011 Volume-8, Issue-8 [Supplement 8]

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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?

No, it should be used only after drug sensitivity report

Yes, under guidance of an infectious disease expert

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