October 2011 Newsletter Volume-8 Issue- 10

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

October 2011 Volume-8 Issue- 10

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October 2011 Volume-8 Issue- 10 (ISSN - 0973-0958)

TABLE OF CONTENTS
Access current issue (October 2011) online Read more...

DIAGNOSTIC DILEMMA

A 5½ years old HIV infected boy had CD4 count of 143 cells/cu mm. He was treated with anti retroviral therapy (ART) consisting of Zidovudine (AZT), Lamivudine (3TC) and Efavirenz (NVP). After 1 month of starting ART, his amylase increased to 899 U/L though child was asymptomatic. USG Abdomen showed bulky pancreas. He had serially elevated serum amylase.

What is the cause of asymptomatic elevation of amylase?

Read more...

TEACHING FILES

Ira Shah

A 4½ month old boy presented with intermittent fever and gradual distension of abdomen since 2 months and self limited oral ulcers 7 days back. On examination, he had splenohepatomegaly. Investigations showed thrombocytopenia, normal liver function tests, negative TORCH titles, reduced megakaryocytes on bone marrow aspiration.

What further tests should be done to diagnose this child ?

Read the entire teaching clinical query in the section of "TEACHING FILES" and try the correct answer.

Last month's teaching file: A 2 year old girl presented with fever, cough and cold since 4 days. She had received 6 months of antituberculous therapy 1 year back in view of Pulmonary TB in mother and a positive Mantoux test of 10 x 10 mm. On examination, she had crepitations in right inframammary region. Investigations showed right parahilar haziness on Chest X-Ray. She was treated with IV Amoxycillin/Clavulanic acid antibiotic for 5 days but fever persisted. A repeat Mantoux test was 15 x 15 mm. Should this child be treated with Antituberculous therapy?

Answer: There is no need for antituberculous therapy in this child.

Read more...

ORIGINAL ARTICLE
Anand Kumar Agarwal, Swatantra Kumar, Manisha Agarwal, Nalini Tripathi, Vandana Patel Factors Leading to the Initiation of Smokeless Tobacco Use Among Adolescents Read more...

CASE REPORTS
Mahesh Kamate, Vivek Chetal, Pournima Patil, Suneel Reddy L, Virupazi Hattehdi Bickerstaff Brain-Stem Encephalitis Read more...

LETTER TO EDITOR (VIEWERS CHOICE)
Dao Minh Tuan, Doan Thi Mai Thanh Bronchoalveolar Lavage Composition of Gram Negative and Gram Positive Bacterial Pneumonia Read more... Minakshi Sham, Dasmit Singh, Dileep Phadke Ileal Duplication With Volvulus Read more...

IMAGE GALLERY
Sachin G Damke, Mayuri Yeole, Keerti Swarnkar, Damodar Balpande 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 Read more... Sincerely, Pediatric Oncall

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UPCOMING CONFERENCES

WSPID 2011 - 7th World Congress of the World Society for Pediatric Infectious Disease will take place in Melbourne, Australia, November 16-19

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Poll

Vitamin D deficiency is rampant in children. How should these children be treated?

600,000 IU of vitamin d injection as one dose
60,000 IU per week for 10 weeks
5000 IU per day for 30-40 days

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Next : October - 2011 Volume-8, Issue-10 [Supplement 10]

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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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