4th Pediatric Infectious Diseases Conference
 
 
Home  Back   ISSN 0973 - 0958
 
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Specialist Answers
Question
Dear sir, I want to ask you few questions in the field of pediatric. We were isolated from world for 15 years due to previous embargo and now by U.S occupation. I have lost 2 of my patients 2months ago with 1 month apart between them.Both patients are below 6 month presented suddenly by high fever ,grunting apathy,poor apetite. On exam. nothing apart from Fever 39.5c Tachycardia Drowsy Hepatomegaly 2f below costal margine. Over few hours sudden deterioration , convulsion then they passed. Investigation; normoglycemic .and due to our miserable condition nothing is available . Treatment; i.v fluid , antibiotic oxygen What are the most likely diagnosis? Dr.Naji A.Ahmed Pediatrician Iraq anbar heet
Answer
Since both patients had similar presentation with no relation between them, it does not seem to be a metabolic disorder. Since both had fever, it is suggestive of infection. Also hepatomegaly,tachycardia and convulsion may suggest severe sepsis, meningitis or viral hemorrhagic fever.
 
 
 
Pedi Poll
Today's Poll
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
Educational Section
 
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