Brief, subtle and nonspecific symptoms in malignancies.

Dr Varsha V S, Dr C Jayakumar,DrPraveena drNavya George  Dept of Pediatrics , Amrita institute of medical sciences. Four  years 5 month old developmentally normal previously asymptomatic female child presented with complaints of on and off high grade fever of 2 weeks duration associated with generalized fatigue and leg pain.History was negative for any other significant symptoms […]

A Child With Recurrent Respiratory Tract Infection Venous curve unsheathed

Dr Anakha V Ajay* Dr  Sajitha Nair* Dr Mahesh K** Dr C Jayakumar*  (Dept of Pediatrics* and Pediatric Cardiology**) Amrita Institute Of Medical Science, Kochi. Three year 11 month old female presented with recurrent episodes of fever, cough and breathing difficulty since birth. History is negative for choking of feeds, aspiration of foreign body or […]

Giant coronary aneurysm in a Three month old

Dr Jerin.K.John, , Dr Krishna Kumar, Dr Shine Kumar, Dr Suma Balan Dr C Jayakumar A three-month-old baby presented with fever, reduced activity, and loose stools for 3 days. The baby  had  rashes all over the body. After taking blood for culture and other  investigations antibiotics was started Irrespective of antibiotics  baby  continued  to have […]

Recurrent Pancreatitis

Dr Joepaul, Dr Bhanu Vikraman Pillai, Dr Anupa Achamma Thomas, Dr Rekha Hari, Dr C Jayakumar   AIMS Kochi Three year old male presented with progressive abdominal distension and tiredness  for the last one week.  He was other wise normal till two years of age. At that time he had a fall from a bicycle but […]

Sonology scores 

DrSreelekshmy , DrShilpa Radhakrishnan, DrNaveen Viswanath , Dr C Jayakumar Aims Kochi  6 year old female child,was admitted due to high grade intermittent fever and wet cough of 8 days. Vitals were stable and PICCLE was normal . Clinically child had 3cm soft liver below the right costal margin and just palpable spleen. CBC and […]

Congenital Cytomegalovirus Infection

Dr.Subbulakshmi P S, Dr.Jayasree.C, Dr.Jayakumar.C AIMS, Kochi Baby with Intra cranial calcificationDrSubbulekshmi ,DrJayasree ,DrC Jayakumar 34 week old gestational age baby born by LSCS due to fetal distress cried only after resuscitation and later developed respiratory distress ,reached AIMS with neo puff supportBaby was kept NPO initially to start oral feeds a day later and […]

Near fatal disease In a two month old 

Dr. Terencia. A, Dr. C Jayakumar, AIMS KOCHI  2 months Old  term, male Small for gestational age presented with multiple episodes dysentery low grade intermittent fever and poor activity and failure to thrive since 42 days of life. Child had raised inflammatory markers,  CSF evidence of meningitis at admission . USG showed multiple splenic abscesses.Child bilateral coarse crepitations and Hepatosplenomegaly. Differentials considered were- 1. […]

Immunological puzzle :Navigating Hyper IgE Syndrome –A Case Report

Dr.Sruthi Suresh*, Dr.Suma Balan**, Dr.C.Jayakumar*** *3rd year resident, Dept. of Pediatrics, **Prof and HOD, Dept. of Rheumatology, ***Prof and HOD, Dept. of Pediatrics Amrita Institute of Medical Sciences, Kochi 10 year old female child presented with complaints of recurrent episodes of intermittent fever and cough of since 4 years with erythematous rashes all over body which was painful and pruritic. Lesions used […]

Total Bilirubin of 46mg in a 10year old

A case of Pyruvate kinase deficiency post splenectomy presenting with Bilirubin of 46mg %. Dr.Akshay Kishore , Dr.Bhanu Vikraman Pillai , Dr.C.Jayakumar AIMS Kochi 10 year old female known case of Pyruvate kinase deficiency postsplenectomy presented with of severe abdominal pain and child was yellowish inappearance of acute onset .Fever/abdominal-distension were absent.Clinically vitals were stable […]