Caffey's disease in an infant

Caffey's disease is a self limited disorder of infantile age group. It is synonymous with 'infantile cortical hyperostosis' and 'Caffey's-Silver syndrome'.It is characterized by fever, irritability, bone pain and characteristic bony changes. It has no definite etiology. This report describes a 4 months old infant presenting with fever, irritability and soft tissue swellings. Investigations led to the diagnosis of Caffey's disease. Symptomatic treatment was given to good clinical response

Presentation of neurotuberculosis in children

A study of 50 cases of tuberculous meningitis was carried out in the Department of Paediatrics, Mayo Hospital, Lahore. 56% of the total patients were below the age of 3 years, 54% presented with fever and fit, in 90% duration of fever was more than 15 days s. Majority 54% were in stage II at the time of presentation, only 6% presented in stage I and 40% in stage III. Cranial nerve palsies were found in 38%, motor deficits in [26%], altered level of consciousness in [46%], muscle tone abnormalities [70%]. Signs of meningeal irritation were positive in 68% patients. 74% patients were not immunized for tuberculosis and 74% had positive history of contact with tuberculous patients. ESR was raised in 60% cases and positive MX test was positive only in 30% cases. Chest X- Ray findings were suggestive of tuberculosis in 40% cases. C. T Scan brain revealed positive findings in 62%. Outcome of the patients revealed that 70% were discharged alive, out of these 40% had sequele at the time of discharge. 10% patients expired during the stay in the hospital, 6% were discharged on request and 14% left against medical advice