May 2012 Newsletter Volume-9 Issue-5 [Supplement 5]

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

May 2012 Volume-9 Issue-5 [Supplement 5]

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May 2012 Volume-9 Issue-5 [Supplement 5]
(ISSN - 0973-0958)

DIAGNOSTIC DILEMMA

A 6 years old boy presented with fever for 2 months and cough for 15 days. Hemogram showed platelets of 26,000/cu mm. CT chest was suggestive of tuberculosis. His HIV ELISA was negative. He was started on anti-tuberculous therapy (ATT). At end of 3 months, he developed atopic dermatitis with seborrheic dermatitis which responded to anti-histamines and emollients. He was suspected to have Wiskott Aldrich syndrome (WAS) but MPV was decreased and bone marrow showed increased megakaryocytes. His serum immunoglobulins were also normal. At end of 6 months, ATT was stopped but platelets were still low. He then had malena which required platelet transfusion.

Is this WAS or is it ITP?

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QUESTION OF THE DAY
Why EEG is advised 3 months after febrile convulsion{simple and atypical}? These are questions asked by our viewers to the experts on the panel of Pediatric Oncall. Read more...

IMAGE GALLERY

Vivek Sharma
A 17 day old baby presented with complaints of vomiting every feed and excessive crying. On examination heart rate of 300/min, Electrocardiogram (ECG) showed narrow QRS complex with absent P wave. Child was given IV adenosine. Cardiac rhythm reverted to normal sinus rhythm. Further ECG was done which showed presence of delta wave. Echocardiography and Holter monitoring were normal. Child was put on propranolol and is doing fine since then.
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