case of congenital brucellosis

There are very few reported cases of congenital brucellosis in the literature. A 3.5-month-old infant had prolonged fever, anemia and hepatosplenomegaly. Brucella melitensis was isolated from the infant's and her mother's blood as well as the infant's bone marrow. The clinical features suggested multiple system involvement with hypersplenism. A combination of drugs was successful in eradicating the bacteria and in preventing complications

Tuberculoma

A 7 years old Indian boy was admitted for new onset seizures. CT scan showed non-enhancing hypodense area in the left parietal region of the brain and urine cultures subsequently were positive for acid fast bacilli The lesion disappeared following anti-tuberculous treatment

Neonatal diabetes mellitus

Neonatal Diabetes mellitus is a rare disorder. In this case report, we describe an infant who presentd with fever, severe hyperglycemia [blood sugar = 50 mmol/L] in the absence of ketonuria. The patient did not have dysmorphic features suggestive of Down's, Turner's, Progeroid or Prader Willi syndrome nor evidence of acute viral infections. Ultrasound examination of the pancreas showed adequate pancreatic tissue. After one year of follow-up, the patient remained hyperglycemic with undetectable C-peptide insulin

Vertigo presenting as conversion disorder in a 10 year old Arab girl

Conversion disorder in a healthy 10 year old girl which appeared as severe vertigo followed the death of the patient's grandmother. The authors discuss the patient's social environment and note the need of sympathetic and confidence building treatment by the doctor. They emphasise the need for speedy treatment to avoid consolidation of symptoms