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July 2012 Volume-9 Issue-7 [Supplement 7]
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Pediatric Oncall
 
July 2012 Volume-9 Issue-7 [Supplement 7]
(ISSN - 0973-0958)
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DIAGNOSTIC DILEMMA
A 5 years old boy presented with remittent fever for 2˝ months. He was treated with various antibiotics but had no response. On examination, he had multiple insignificant cervical, axillary and inguinal lymphadenopathy with splenomegaly. Investigations showed high ESR, normal liver and renal functions and hemogram, Weil Felix test = OX–19 = 1:160, OX–2 = 1: 640, Brucella IgG, IgM – Negative, HIV ELISA = Negative, RA factor, ANA, dsDNA = Negative, EBV nuclear antigen IgG = Weakly positive

What is the cause of fever?

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QUESTION OF THE DAY
In a newborn who is born in car or home, is it necessary to give anti-tetanus?

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

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IMAGE GALLERY
Ravi Kumar Parihar, Varun Kaul, Sanjeev
Kumar Digra, Ghan Shyam Saini, Sandesh
Ganjoo




A 10 months old boy had bilateral web over popliteal region since birth leading to flexed knees. He also had cleft lip and palate, inguinal hernia. What is the diagnosis?

Try your clinical skills in the - SPOT DIAGNOSIS. for the fortnight and the lucky winner gets a book on pediatrics - courtesy Pediatric Oncall

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Sincerely,
Pediatric Oncall


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With increasing resistance to first line drugs, should category 2 treatment be modified?

Yes, adding streptomycin to a failing regime will lead to more drug resistance
No, it would give time for change of therapy depending on drug senstivity reports

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Pedi Poll
Today's Poll
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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