A preterm was in NICU for weight gain from birth. On Day 30 life, patient had aspiration and required bag and mask ventilation. He was started on Ceftriaxone-Sublactum & Ofloxacin antibiotics. His septic screen was positive. He required artificial ventilation. ET culture grew Gram negative bacilli. He was given antifungals empirically in view of prolonged hospital stay. However, the child expired on Day 37 of life.
What could be the cause of deterioration? Is it fungal or bacterial?
A 10 years old boy presented with fever with chills since 10 days. He has pallor with hepatosplenomegaly. Child was treated with oral quinine and IV Artesunate to which he responded.
Can artesunate and quinine be given together?
Read the entire teaching clinical query in the section of “TEACHING FILES” and try the correct answer.
Last month's teaching file: An 11 year old HIV infected girl on 3 drugs ART consisting of Zidovudine (AZT), Lamivudine (3TC) and Efavirenz (EFV) since past 1 year presented with generalized swelling all over body with itching and rash since 5 days. She was given Nevirapine (NVP) instead of EFV by a local hospital 7 days ago. She also has NVP induced rash 1 year ago when she was first started on ART and hence shifted to EFV. What could be the cause of present problems?
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Syrup formulations of antiretrovirals especially zidovudine and nevirapine are in short supply due to decreased production. How to give prophylaxis to the babies to prevent vertical transmission of HIV_?
Pulverise the adult tablet and give
Do not give prophylaxis to the babies
On humanitarian grounds, the production should be maintained
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