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4th Pediatric Infectious Diseases Conference

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Question Category : Infections
Why babies with intrauterine infections are low birth weight? Check Out the Answer
Question Category : Infections
This query is from singapore. My son was down with high fever at 40.5 degree Celsius at 19 days old.He was admitted in hospital for 5 days for blood,urine test.It showed E.coli in his urine.Doc put him on IV with antibiotic.Fever subsided the next morning.Ultrasound on kidneys showed normal.2nd urine culture showed no bacteria but now doc wanted to perform MCU on baby. I would like to find out how necessary is this MCU?If it is really necessary,how soon should we perform it?Is there any other signs of reflux possible to detect without performing MCU?Pls advice asap.Thanks. Check Out the Answer
Question Category : Infections
It Has been mentioned in textbook that urinary tract infection can lead to direct hyperbilirubinemia(ref Nelson textbook 17 edition page 1198 topic normal gi tract phenomenon.) SEPTICEMIA LEADING TO DIRECT OR MIXED H BIL IS well known.PLEASE explain how UTI will lead to high bilirubine anemia? Check Out the Answer
Question Category : Infections
A woman is hiv positive. She has delivered 4 days back. Postpartum her tuberculin test positive. Hence she was further screened for kochs. On USG she is having abdominal lymphadenopathy with splenic microabscesses.Physician says that it is a case of abdominal kochs.sputum is negative. CHEST X-RAY IS NOT SUGGESTIVE OF pulmonary kochs. Physician says that though it is not an open case. It can be disseminated kochs. AND sputum report can be false negative. Should we start prophylactic antitubercular therapy to the baby considering it as a case of contact mother is going to breast fed the baby. We have similar case i.e. similar finding but whose afb culture came positive 3 weeks later. Check Out the Answer
Question Category : Infections
In the recent past I have seen few patients of diphtheria coming for medical attention within days of developing symptoms. Can I use injection erythromycin in them for treatment. Within how many days of developing symptoms can I give/ use erythromycin in them? Check Out the Answer
Question Category : Infections
Can putting ear drops in a child with AOM lead to perforation of the Tympanic membrane? Check Out the Answer
Question Category : Infections
Dear Doc, the last time i asked you what was the normal CSF cytology and biochemistry values for a neonate( TERM/PRETERM). It was answered very confusingly and incompletely. Please let me know the complete answer this time with some reference also if possible. 2) My next question is whether we can use itraconazole for candida sepsis rather than amphotericin? Considering the latter's side effect profile is itraconazole a good alternative for use? Check Out the Answer
Question Category : Infections
Is the use of analgesic/antibiotic ear drops contraindicated in cases of Acute otitis media without perforation? Check Out the Answer
Question Category : Infections
I have seen some pediatrician using i.m.immunoglobulin for recurrent/chronic respiratory infections.(Especially for cold & cough not responding to regular antihistaminics & antitussives for a month trial.) Is the therapy justifiable? Any other remedy for the cough & cold not responding to the regular antihistaminics,antitussives for more than a month? Check Out the Answer
Question Category : Infections
What are the complications caused by chickengunya virus in 1> new born baby 2> in neonates 3> in age group of 3-9 yrs 4> in age group 10-14 yrs? Check Out the Answer
Question Category : Infections
What is the primary procedure to be done in comatised patient of tubercular meningitis? Check Out the Answer
Question Category : Infections
How do diagnose the child suffering with rubella and what are the tests? Check Out the Answer
Question Category : Infections
Is it possible in widal test case That O anti body found negative and H antibody are 360 titre positive.What will be the interpretation of O anti body negative and and H antibody 360 positive report in widal test? Check Out the Answer
Question Category : Infections
Hi,in a child with post viral infection neutropenia,which might take a few days sometimes also a week to pick up again,how do we manage and what is the mean duration of time to expect the counts to increase? Check out the answer. Check Out the Answer
Question Category : Infections
I had a case of 3 month old child weighing 3.3kg( Prematurely born child, now on EBM), with a diagnosis of septicaemia, He was found to be Hyperglycemic( Child not on IVF,Steroids).Without any active interventions as regards the hyperglycemia, the child came out of the crisis. The subsequent blood sugar was normal.Child has active and vigorous sucking now. Check Out the Answer
Question Category : Infections
A 3 year old male child presented with c/o generalized swelling of the body and scanty urine for 1 week. No past h/o sore throat or pyoderma. o/e anasaeca,bp 98/52.cvs,R/s,gi,cns normal. urinalysis: protien +++,puscells 10-15,Rbc occassional/h.p.f.,coarse granular casts++ Hb. 9.2gm,TLC : 10800,P 64,L33,E -3%. ESR:77mm/1st. hr. Bun 22,se creatinine 0.7,se cholestrol :438,Total proteins : 5g, albumen 2.6g. Urine culture: Klebsiella (Sig.) S : Amikacin,Nitrofurantoin,gentamycin. Ultrasound scan of KUB : NAD Mx. test negative,Xray chest normal. This child was diagnosed as Nephrotic syndrome and UTI. He was given Inj Amkacin x 10 days and put on Prednisolone 2mg/kg/d. His urinary flow increased and proteinuria subsided to + but pus cells were still 6-8/hpf.and urine culture continued to be positive on 3 weekly repetitions. Repeat ESR 42mm and se cholestrol ;370 after 4 weeks of steroids. After mikacin he was put on furadantin 6mg/kg/day for 2 weeks and then on 2mgS/kg/day;on which he is still continued to combat a chronic UTI. The query is: 1.Is the UTI persisting because of steroid therapy? 2.Should steroids be discontinued and restarted after urine culture is sterile on at least 2 repetitions? Dr. J.S. Chugh Consultant Paediatrician S.N.S PAHWA HOSPITAL IND. AREA-B, LUDHIANA(Pb.) Check Out the Answer
Question Category : Infections
A 2 month old baby came with complaints of occasional cough abdominal nasal discharge. Elder sibling was treated for LRTI with parenteral antibiotics. the baby was well looking and feeding well,not febrile.As they refused inv: empirically started on amoxycillin.They returned after 2 weeks with history of cough not subsiding.Baby still not febrile, active, no signs of pneumonia. Counts normal for age, CRP-6, ESR-4.cxr Normal..Baby was started on azithromycin. Does she require parenteral antibiotics. How to relieve cough? Check Out the Answer
Question Category : Infections
Increasing Reticulocytocytosis with persistentanaemia in a patient suffering from Kala-azar. Probable pathogenesis please. Check Out the Answer
Question Category : Infections
In which age group atypical bacteria infection occurs? Check Out the Answer

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