Asian Journal of Pediatric Practice
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A Unique Case in the Field of Medicine
Get PDFChronic cough fever and off and on difficulty in breathing in a 10-year-old male patient was not responding to drugs. Here we present a case of undiagnosed foreign body since 7 years in airway
Acute Disseminated Encephalomyelitis Presenting as Fever of Unknown Origin: Case Report
Get PDFBackground: Fever of unknown origin (FUO) can be defined as a body temperature higher than 38.3°C on several occasions over more than 3 weeks, the diagnosis of which remains uncertain after 1 week of evaluation. Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating disease of the central nervous system (CNS) with a wide range of clinical manifestations. The highest incidence of ADEM is observed during childhood and it usually occurs following a viral or bacterial infection or, more rarely, following a vaccination, or without a preceding cause. Case presentation: Here, we describe an atypical case of ADEM that initially manifested as several weeks of FUO in a 15 years old boy. Conclusions: This case report suggests a new possible syndromic association between ADEM and FUO, which should be considered in the clinical examination of patients with FUO, especially in the presence of also modest neurologic or neuropsychiatric symptoms. 
Effect of Protein and Energy Supplementation on Growth of Infants ≤1,500 g at Birth: A Randomized Trial
Get PDFObjective: To study the effect of energy supplements with protein-energy supplementations on the growth patterns of low birth weight (LBW) infants weighing ≤1,500 g. Material and methods: Babies with birth weight of ≤1,500 g and on full enteral feeds on Day 14 of life with expressed breast milk (n = 60) were randomly allocated to energy alone group (n = 30) and protein-energy group (n = 30). Babies in energy intervention received medium-chain triglyceride and protein-energy intervention received human milk fortifier supplement added to expressed breast milk. Daily weight, weekly length and head circumference were checked to monitor the growth. Study was continued till the infants reached a weight of 1,600 g or 4 weeks from the start of the study, whichever was earlier. Results: In the energy group, mean weight gain was 14.98 ± 0.09968 g/kg/day, whereas in the protein-energy group weight gain was 19.79 ± 0.08745 g/kg/day (p < 0.001). Increase in length or head circumference did not show any statistical significance. Conclusion: This study was consistent with the importance of providing additional protein intake to achieve increased postnatal growth in LBW babies
Herpes Zoster Ophthalmicus in Healthy 13-month Infant: An Unforeseen Scenario
Get PDFHerpes zoster (HZ) as well as varicella are caused by varicella-zoster virus. It is uncommon in children. Cases have been reported in literature among all ages from neonate to old age. We report this case of HZ ophthalmicus in a healthy child born to healthy mother with a history of varicella infection in the third trimester (7th month of gestation). Early diagnosis and treatment reduce complications. Preconceptional varicella-zoster vaccine is also a matter of concern
ALBI and Child-Pugh Score in Predicting Mortality in Chronic Liver Disease Patients Secondary to Alcohol: A Retrospective Comparative Study
Get PDFBackground/Aims: The severity of liver dysfunction in chronic liver disease (CLD) is often estimated with Child-Pugh (CTP) classification or model for end-stage liver disease (MELD) score. The albumin-to-bilirubin (ALBI) score is a new model for assessing the severity of liver dysfunction, which is simple and more objective. In the present study, we aimed to retrospectively compare the performance of ALBI score with Child-Pugh score for predicting the mortality in patients with CLD. Material and methods: Data of patients with CLD, irrespective of etiology, were retrospectively reviewed. Child-Pugh score and ALBI score were calculated for the patients and results from receiver operating characteristic (ROC) curves were analyzed. Results: The study was conducted on 299 patients of CLD; age distribution was between 20 and 85 years with mean age of patients being 45.7 ± 10.94 years, sex ratio male: female 265:34 with mortality rate of 19.73%. The area under the curve (AUC) of ROC of ALBI and Child-Pugh were 0.586 and 0.549, respectively. Conclusion: Ability of ALBI score for predicting mortality was comparable with that of Child-Pugh score but Child-Pugh score of >10 had better performance of predicting mortality as compared to ALBI score
