4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
24 days old child is suffering from following ailments- Fever-2 days mild abdominal distension. Child feeding well Clinical Exam. shows nothing significant, except fever and mild yellowish discoloration of skin Pathology-TLC 11200 Poly-20%, Lymph 80% CRP positive( 7.0 U) Serum Bilirubin - 3.7 mg%(Total) 0.6 mg%(Direct) 3.1 mg%(Indirect) What should be line of treatment, and antibiotic of choice ?
Answer
Rule out dehydration fever. The child's CRP and counts are not very abnormal to suggest a bacterial infection. Regarding the indirect hyperbilirubinemia, just do a retic count and peripheral smear to rule out hemolytic anemia and also rule out Rh or ABO incompatibility.
 
 
 
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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
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