DIAGNOSTIC DILEMMA

Pediatric Oncall
A 2½ month old boy had Klebsiella sepsis with persistent diarrhea. His serum immunoglobulins were normal and NBT test showed 3% function. Does this child have chronic granulomatous disease. Read more.

Last fortnight's query of a 2yr old girl with cough for a year. Chest X-ray revealed no positive findings, mantoux 4mm. Given anti Tb treatment for 6 months but no response. Has received INH prophylaxis for 6 months at 3 months of age in view of TB contact. How to manage the child now?.

QUESTION OF THE DAY

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

Nimesh Kumar Dave: How is the passive immunisation in tetanus given?

S.Chidambaranathan: I come across many children with CRP test positive. Many children are with recurrent RTI associated with recurrent fever.

IMAGE GALLERY

Naji A. Ahmed
A 10 years old male from rural area present with fever and spreading fascial rash for the last 5 days. 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

Sincerely,
Pediatric Oncall

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