Childhood vesiculobulous disorder (toxic epidermal necrolysis) in a resource constrained setting.

We report a case of childhood vesiculobulous disorder of the severity of Toxic Epidermal Necrolysis(TEN) in a 4 year ten month old female child resulting from caregiver prescribed medication. She is one of 4 children of a non consanguineous marriage with no family history of similar adverse drug reactions. She was initially managed in a private hospital before referral to our centre where we observed constraints of funds and crisis of confidence on the part of the parents. The need for enlightenment and counseling of care givers on cause of illness and advocacy for special funds for adverse drug events especially for indigent patients is hereby highlighted. Also the importance of optimization of available health care resources even in the midst of poor circumstances is emphasized.

Diabetic ketoacidosis in a 9 month old child and the journey to 4 years.

We report a case of diabetes mellitus in a 9-month-old male, a product of a non-consanguinous marriage with no family history of diabetes mellitus. He presented initially with ketoacidosis in our emergency room and recovered from coma after 48 hours but was discharged after 14 days. He is now 4 years old and doing well and caregivers are coping even with the challenges of caring for a very young diabetic child. This article will help to build up the data bank for diabetes in infancy and childhood in our environment as well as highlight the challenges faced by both caregivers and physicians in the management of very young diabetics irrespective of socioeconomic status.