Hypoglycemia in a child with tramadol poisoning

Tramadol is a central acting analgesic of the opioid group used for moderate to severe pain. Tramadol overdose can be accidental or intentional and is more common in adolescent and adult males. We report the case of a 4-year-old boy presenting with hypoglycemia following tramadol poisoning with loss of consciousness and convulsion; he was managed conservatively and made remarkable improvement without any sequelae

Childhood pulmonary tuberculosis with digital clubbing

Tuberculosis is prevalent in the tropics and sub-tropics; late treatment may result in severe morbidity and mortality. Digital clubbing has been associated with several diseases including pulmonary tuberculosis though the exact mechanism is poorly understood; this has been linked mostly with severe adult pulmonary tuberculosis associated with cavitations, hypoalbuminemia and smear-positive sputum, but the case of an 11-year-old boy who presented with digital clubbing and leukonychia with absence of cavitary lesion or hypoalbuminemia is reported