Dengue in 3 month old male boy
Posted by on Friday, 28th October 2011
Deepak,3 month old male baby, of middle soccioeconomic class persented to us with poor feeding and irritable behavior. Born to nonconsaguinious marraige ,by NVD, CIAB, with unevevntfull 3 month home staying,
Baby put on broad spectrum antibiotics and relavant investigation sent. All parameters are normal except leucopenia.
Since baby in delhi (Dengue zone)so we send sample for Dengue NS1 as cause for letharginess. we surprise by knownig it is postive. It is repated twice for confirmation it postive again.
Local epidemics / disease pattern must be kept in mind for any unusual presentation even in small baby.
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Seizure in Normal child
Posted by on Tuesday, 25th October 2011
A 8 yrs. Male (AMIT)boy with perfectely all right condtion, visit to own school as usual days . At 2:20 pm in class room he is complainng of headache. School teacher call the maother and send boy back home. At home he developed seizure(GTCS).
Amit's mother rushes to hospital ,in ER Amit vomit out. Doctor on duty just give antiemetic injection and loading with inj phenytoin for controloing vomiting and convulsion . After 2 hrs in hospital ,boy become unconciouss . Amit's mother by seeing all this catastrophic events rushes to our hospital where urgent CT done ,we find large Internal bleed ,Neurosugeon call send and urgent drinage done
Baby finally discharge with diagnosis of AV Malformation with rupture.
Don't Ignore any headache with seizure
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CMV infection with vasculitis with Kawasaki disease
Posted by on Thursday, 28th April 2011
Sarthak,6 month/M/ch/ product of nonconsgiaunous marraige persented to us with complain of anemia and ,hepatosplenomagaly. baby was investigated throughly and it is found that baby with IGM postive for C M V.
After 2 month of apprentely asymptomatic period baby developed right hand bluish discoluration, to conform etiology CT angio done it ifound that there is fusiform swelliing of whole subclavion ,brachial and radial artery with nonvisuliation of radial artery
Radiologist make diagnosis of Kawasaki diseseas
Baby put on LMW heparin with IVIG.
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