Case of Proprotein convertase 1/3 deficiency

DrMehak , DrVenkat , DrBhanu Vikraman Pillai (;Paed gastro)DrSheela Nampoothiri(Paed Genetics ) DrC JayakumarAIMS KOCHIThree month old infant, second child of third degree consanguinous parentage who was developmentally normal, partially immunised presented with loose watery stools since 16 th day of life. Birth weight was 2.86kgs. Baby was started on topfeeds which were continued for […]

Delayed but not Defeated !!

Dr.SreeLekshmys, Dr.C.Jayakumar, Dr.Praveena, Dr.Navya. One yr old female child with  history of one respiratory tract infection at six months of age, presented with high grade intermittent fever lower chest in drawing and  fast breathing of 2days. At admission child was febrile and tachypneic with saturation of 93% improved to 99% with 5 L O. Decreased air entry  noted at right mammary and infra axillary areas and b/L wheeze […]

Juvenile Dermatomyositis

Dr.Jerin.K.John, Dr.Suma Balan, Dr.C.JayakumarAIMS KOCHI A 3-year-old boy presented with fever and  skin rashes 10 months back which was followed by weakness with  difficulty in getting up from sitting position  and joint pain. Joint pain got resolved but weakness and skin rashes persisted. He was on treatment from alternative system of medicine without relief. Examination revealed […]

BATTLE BETWEEN DRUG INDUCED HYPERSENSITIVITY AND DRESS SYNDROME

Dr. Terencia, Dr. C Jayakumar, Dr. Praveena, Dr. Bhanu vikramam pillai, Dr. Navya A 15-year-old male, immunized and developmentally normal, was initially evaluated at AIMS for complaints of abdominal pain, altered bowel habits, and weight loss persisting for 6 months. As routine causes of abdominal pain were negative, upper GI endoscopy was done and revealed mild gastritis and a small sliding hiatal […]

Case of Auto inflammatory Syndrome

Dr.Mehak Dr Suma Balan Dr Jayakumar Department of Pediatrics and Pediatric rheumatology, Amrita institute of medical sciences , kochi Fourteen year old male boy asymptomatic till six years of age presented with sudden onset high grade fever Tmax 103F with cough and runny nose. Other historical points suggestive of system involvement was negativeXray Chest was […]

TRAP!- TWIN REVERSED ARTERIAL PERFUSIONS

Dr.Subbulakshmi P S, Dr.Jayasree.C, Dr.Jayakumar.C AIMS, Kochi Thirty two weeks 1.8kg preterm baby of twenty five years old primi was delivered by vaginal delivery due to uterine contraction. Antenatally scan showed Monochorionic Diamniotic  twinwith absent cardiac activity in one fetus. Differentials: ● Vanishing twin syndrome ● IntraUterine Death ● Twin to twin transfusion Syndrome(TTTS) ● Twin reversed Arterial Perfusion(TRAP) After Doppler TRAP Sequence was confirmed and fetus A, the […]

Uncommon Culprit:Rota Virus- Associated Encephalopathy

Dr.Ch. Venkat Kumar Raju, Dr. Praveena Bhaskaran, Dr. Vaishakh Anand, Dr.C. Jayakumar AIMS KOCHI Three year 11-month-old fully vaccinated child presented with non-bilious vomiting associated with multiple episodes of large volume, watery and foul-smelling loose stools.Sibling also had fever and was getting in patient care three days back .Child was on family pot diet and not […]