Access current issue (May 2011) online

A 2 years old boy presented with dry cough for 1 month. There is no contact with tuberculosis. A Mantoux test done in him was positive 15 x 10 mm.

What kind of tuberculosis does this child have?

Ira Shah

A 15 month old girl presented with excessive sleepiness for 3 days and fever for 1 day. She had a boil over left lower abdomen 8 days back which has ruptured and left behind an ulcer over the abdomen for past 3 days. There is no history of contact with TB. On examination, she is drowsy, has no BCG scar, has an ulcer over left abdomen, no meningeal signs, right sided lateral rectus palsy and hepatomegaly.

What is the diagnosis?

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

Last month's teaching file: A 10 months old boy presented with cough for 7 days, fever for 3 days and breathlessness for 2 days. On examination, he was in distress with respiratory rate of 60/min, had suprasternal, intercostals and substernal retractions with flaring of alae nasi. Chest examination revealed decreased air entry in right subscapular area with bilateral wheeze. Why does this pneumonia have bilateral wheeze?


Answer: Croup with superadded bacterial pneumonia or aspiration pneumonia

Ira Shah, Bhushan Katira

Hematological Manifestation in Heart Naive HIV-1 Infected Children in India in a Resource Limited setting

K Jagadish Kumar, Anil Kumar MG, Vijay L, S Perumal Satya, V G Manjunath, Mamatha S
Pyoderma Gangrenosum in an Infant Treated With Skin Grafting

Nibedita Mitra, N Kannan
Hallermann-Streiff Syndrome

Singh DK, Seth Shikha, Singh Mamta
Thanatophoric Dwarfism: A Lethal Skeletal Dysplasia

Jagjit Singh Dalal*, Aashish Kumar*, Monika Dalal**, Tarun Kumar Sharma***

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

Antibiotic resistance is on rise. Should there be a national antibiotic prescribing policy?

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