RESUMO
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
RESUMO
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