March 2013 Newsletter Volume - 10 Issue - 3

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

March 2013 Volume-10 Issue- 3

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March 2013 Volume-10 Issue- 3 (ISSN - 0973-0958)

TABLE OF CONTENTS
Access current issue (March 2013) online Read more...

DIAGNOSTIC DILEMMA

Pediatric Oncall An 11 month old girl resident of Mumbai presented with fever for 15-20 days. She had diarrhea with septic shock, meningitis and anemia 2 months ago for which she was hospitalized and treated with intravenous antibiotics and blood transfusion. On examination, she had pallor, hepatosplenomegaly with generalized lymphadenopathy. Bone Marrow aspiration {Day 48} = LD bodies. This child had never been to an area endemic for Kalaazar though mother had been there 6 months prior to getting pregnant. Child was treated with Inj Amphotericin B to which the fever, pancytopenia responded and hepatosplenomegaly regressed.

How did the child get Kalaazar?

Read more...

TEACHING FILES

Ira Shah

A 4 year old girl presented with recurrent seizures since 1 year of age which are generalized tonic clonic convulsions with clenching occurring once in 2-3 months. Mother had appendicitis in first trimester of pregnancy. A milestone in form of speech is delayed. On examination, the child has microphthalmia, microcornea, low set ears, microcephaly {head circumference = 44 cm}. There was an ejection systolic-murmur in pulmonary area. Other systems are normal.

What is the possible diagnosis?

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

Last month's teaching file: A 4 1/2 months old boy presented with fever and cough for 15 days. He also had an episode of uprolling of eyes 3 days ago. His eldest sister had died at 18 years of age due to fever and cough 4 months ago. What is the diagnosis?

Answer: Disseminated TB

Read more...

ORIGINAL ARTICLE
Jyotirmanju CS, Sunil kumar BM, Prarthana Karumbaiah, ATK Rau Predicting Mortality in Pediatric Intensive Care Unit using Pediatric logistic Organ Dysfunction Score in a tertiary care centre. Read more...

CASE REPORTS
Farouq I Thabet, Kaiz S Asif, Charles J Marcuccilli Miller Fisher Syndrome Presenting as Lingual Neuropathy. Read more...

LETTER TO EDITOR (VIEWERS CHOICE)
Kumar Amritanshu, D P Banerjee Concomitant Rheumatic Fever and Dilated Cardiomyopathy. Read more... Vipin Vaish, Hans Vaish, Sachin Suri Successful Treatment of Neonatal Idiopathic Chylous Ascites with Somatostatin. Read more...

IMAGE GALLERY

Pediatric Oncall

This 4 month old boy born of non-consangineous marriage has delayed development, hepatosplenomegaly and this skin rash. TORCH titres, VDRL are negative. His ophthalmological examination showed cherry red spot. 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

6th Europediatrics and The RCPCH Annual Conference: 5-6 June 2013, Glasgow, UK

31st European Society For Paediatric Infectious Diseases: 28 May- 1 June 2013, Milan, Italy

Video Podcast

PPTCT - which regime to follow.

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Next : June-2013 Volume-10, Issue-6

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

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