Pediatric Oncall

A 14 months old boy on antituberculous therapy since past 3 months had left sided cervical swelling with fever for 15 days. He underwent excision drainage of the abscess. Is it paradoxical reaction or is it drug resistant TB?

A 4 years old girl presented with recurrent watery diarrhea for the past 6 months and edema for past 15 days. Her diet is only on dal and rice with calorie intake of 400 kcal, day and proteins of 7gm, day. She had history of pica. On examination, her weight was 8.5 kg. Her hair was depigmented and easily pluckable. She had generalized lymphadenopathy, pallor, angular cheilitis and beading of the ribs was present. Tongue was bald. She had conjunctival xerosis. On systemic examination, she was apathetic and had hepatomegaly. Her stool examination showed ova of hookworm, Trichuris trichiura, ascariasis and cysts of E. histolytica.

What nutritional deficiencies does this child have? How should this child be managed? How should this child undergo nutritional rehabilitation? What problems will she have as she grows older?

A 10 months old boy presented with cough for 7 days, fever for 3 days and breathlessness for 2 days. Chest examination revealed decreased air entry bilaterally with bilateral wheeze. Chest X-Ray = perihilar infiltrates with bilateral hyperinflation. A throat swab was sent for testing for influenza A and B antigen assay which was positive for influenza A. What are the complications of influenza? Should this child be treated with antivirals?

Ira Shah
Immune System. Read about immune system, white blood cells that help to fight infection, antibodies, other components of immune system.

Ira Shah
Primary Immunodeficiency Diseases. Read about primary immunodeficiency diseases, less common immunodeficiencies, diagnosis, treatment.

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

• In the growth chart calculator, what is considered in normal range - in 90th percentile or 10th percentile?
  
  
  

Shalini Avasthi

Both child and father have narrowing of the eye opening, inner canthal folds, lateral displacement of inner canthi and drooping upper eyelids. Father also informed that the various other family members from every generation were suffering from the same complaint.

What is the diagnosis?



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