January 2007 Newsletter Volume-4, Issue-1

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

January-2007 Volume - 4, Issue - 1

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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January-2007 Volume-4, Issue-1

Dear Doctor,

DIAGNOSTIC DILEMMA

This month's Diagnostic Dilemma:
Abdulhakim Omer Al-Tamimi. A 15 year old male child presented with history of progressive appearance of dark skin nodules with multiple cafe au lait spots all over the body, gynaecomastia and ankle swelling. What is the syndrome? Read the entire case in the section of DIAGNOSTIC DILEMMA for further details.

TEACHING FILES

Ira Shah
This month's teaching File: An 8 year old boy presents with fever, hepatomegaly, ascitis, abdominal pain and blood in stools. What is the diagnosis? Read the entire teaching clinical query in the section of "TEACHING FILES" and try the correct answer.

Last month's teaching file:
Query: A 14 month old boy presents with delayed milestones, excessive sleepiness, hyperpigmentation of fingers and toes and tremors. What is the diagnosis?

Answer: Infantile Tremor Syndrome. Read and discuss this case in full details further in the section of "DISCUSSION GROUPS".

REVIEW ARTICLE

E merging Therapies for Chronic Heart Failure in Children and Young Adults. Bibhuti B Das, Robert Solinger. In this review read about new therapies like exogenous brain natriuretic peptide (nesiritide), blockers of angiotensin-receptors, calcium sensitizing agents, modulation of the cytokine response, endothelin receptor antagonists, vasopressin antagonists, chronic resynchronization therapy and/or implantable defibrillator, and implantable circulatory assist device support for heart failure in children and young adults.

CASE REPORT

Neuromyelitis Optica (Devic's Disease). Karuna Thapar, Gaurav Dhawan. Neuromyelitis optica (NMO) (Devic's disease) is an uncommon clinical syndrome in pediatric age group comprising of unilateral/ bilateral optic neuritis and transverse myelitis within 8 weeks. Although once believed to be a variant of multiple sclerosis, diagnostic criteria have recently been proposed for neuromyelitis optica, making it a clinically distinct syndrome. Read about a case with Devic's disease.

Meckel-Gruber Syndrome with Lingual Cyst . Shalu Gupta, S.Basu, Ashok Kumar, B. D. Bhatia. Meckel Gruber syndrome is a rare autosomal disorder characterized by encephalocele, polycystic kidneys, and polydactyly. The diagnosis is possible antenatally. Authors report a case of Meckel Gruber syndrome with a recurrence of cranium bifidum and an associated posterior lingual cyst.

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SPOT DIAGNOSIS: An HIV infected child presents with cough and breathlessness. What is the diagnosis?

Last month's answers:
Case 1:Megaloblastic anemia
Case 2: Bilateral knee synovitis due to JIA

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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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