ABSTRACT
Objective: To determine the role of zinc supplementation in treating measles pneumonia in children
Methods: This descriptive study was conducted in the department of Paediatric, Services hospital, Lahore. The duration of the study was 6 months from June 2012 to December 2012. 120 cases of children with measles Pneumonia between 9 months to 15 years of age with both genders were included in this study after taking informed consent from parents. An approval was taken by ethical committee of the hospital. All patients received zinc sulphate [1mgkg/day] along with conventional treatment in twice daily doses till resolution of measles pneumonia. Patients were assessed daily for fever, rash and tachypnea and findings were recorded till the resolution of measles pneumonia. All these information were recorded on a pre-designed proforma
Results: In our study, out of 120 cases, 81.67%[n=98] were between 1-10 years of age while 18.33%[n=22] were between 11-15 years of age, mean+sd was calculated as 7.49+3.48 years, 51.67%[n=62] male and 48.33%[n=58] were females, mean duration of illness in children with measles pneumonia receiving conventional treatment with zinc supplementation was calculated as 132.81+8.36 hours
Conclusion: We concluded that that mean duration of illness in children with measles pneumonia receiving conventional treatment with zinc supplementation was similar to previous studies, however, in absence of any local study, there is a dire need for further trials to validate our findings
ABSTRACT
Hyperimmunoglobulin E syndrome is a primary immunodeficiency disease characterized by markedly high titers of serum immunoglobulin E [lgE], chronic eczema, recurrent staphylococcal infections and pneumatoceles. There are no clin ical tools for diagnosis and definitive laboratory investigation. Variability of presentation makes it easy to confuse the diagnosis with severe atopy or other rare immunodeficiencies. We report case of a 9-year-old boy with recurrent eczema, mycotic infection of the nails and moderately elevated lgE levels
ABSTRACT
Objective: to determine the frequency of bacterial meningitis in children presenting with seizure and fever diagnosed on lumbar puncture
Material and Methods: this descriptive study was conducted in the department of Paediatrics, Services Hospital, Lahore. The duration of study was 6 months from June 2012 to December 2012. One hundred and fifty cases with fever and seizures were included in this study. Their demographic information was recorded; lumbar puncture was performed and sent for cerebrospinal fluid analysis in the laboratory. All this information was recorded on a pre-designed proforma
Results: majority of the patients were between 1-2 years of age i.e. 50.6% [n=76], 21.3 %[ n=32] between 3-4 years, 19.3% between 5-6 years and only 8.6% [n=13] were of 7 years of age. Mean +/-. Standard deviations were 3.67+/-2.54 years. Males were 58 %[ n=87] and 42% were females. Frequency of acute bacterial meningitis in children with fever and fits, which were diagnosed on lumbar puncture, reveals 6% [n=9], while 94% [n=141] had no finding on CSF examination
Conclusion: the frequency of bacterial meningitis in children with fever and seizure is considerable but not significantly high
ABSTRACT
Scurvy is a disease of ancient times. Now-a-days, with advances in the understanding of the disease, improvement in the nutrition and health standard, scurvy is rarely noticed. Very few cases of scurvy occurred in neglected and developmentally delayed children. We present a 9 years old child who was a known case of cerebral palsy and presented with painful swelling of the right knee, with bleeding from the gums. With vitamin C replacement therapy there was a dramatic improvement in his condition. This case serves as a reminder to the clinicians that even though rare in today's practice, ascorbic acid deficiency is still encountered and when recognized, is an easily treatable disease
ABSTRACT
Toxic epidermal necrolysis [TEN] is a clinical syndrome characterized by severe exfoliative skin changes, erosive mucosal involvement, and potentially life-threatening multisystem involvement. We present a 1 year old boy with recurrent rashes and fever, who turned out to be a case of toxic epidermal necrolysis