February 2012 Newsletter Volume-9 Issue-2 [Supplement 2]

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

February 2012 Volume-9 Issue-2 [Supplement 2]

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February 2012 Volume-9 Issue-2 [Supplement 2]
(ISSN - 0973-0958)

DIAGNOSTIC DILEMMA

A 10 months old boy presented with fever for 7 days and excessive crying for 6 days. Fever was accompanied by vomiting initially which subsided within 2 days. Mother had open tuberculosis and was on antituberculous therapy (ATT) for past 1 week. The child was a full term normal delivery on top feeds with normal milestones and immunized for age including BCG. The child was investigated for same and CSF was normal. MRI brain showed frontotemporal enlargement of CSF spaces.

What could be the cause of irritability?

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QUESTION OF THE DAY

A child aged 4 years presented history of fever {not varicella infection} and followed by ataxia at the age of 2 years. Had one recurrence after that. Now the child has residual deficit in form of persisting ataxia, intelligence is normal with good understanding and reasoning. Now child is on low dose corticosteroids on alternate days. MRI-normal. No microcephaly, what are the chances of child recovering?

These are questions asked by our viewers to the experts on the panel of Pediatric Oncall.

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IMAGE GALLERY

Mehmet Davutoglu, Sezai Sasmaz

Spot Diagnosis

An 8-year-old girl presented with small yellow deposits on both eyelids and periorbital area lasted for one year (Figure 1). These lesions were first seen on the lower lids and then progressively enlarged and spread to the upper lids and periorbital area. She had no similar lesions elsewhere on her skin. Routine laboratory investigations; complete blood cell count, urinalysis, serum chemistry, including blood glucose, liver function tests, and lipid profile were all normal. What is the diagnosis?

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For treatment of tuberculosis, should anti TB drugs be given as fixed drug combination {FDC} or singly?

FDC can be given as it is easy to give just one tablet
Drugs should be used singly to achieve optimum blood levels

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Next : March-2012 Volume-9, Issue-3

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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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