Monday, 1 April 2013

Infantile Hemangioma: Case Discussion

Today, at early morning, we admitted a case of infantile hemangioma to our pediatrics intensive care unit for respiratory and hemodynamic monitoring in the setting of possible ongoing airway obstruction. She's a 2 months old girl who was born with a small red lesion on her right cheek which progressed over the last few weeks. Now, she has multiple vascular lesions on both cheeks, right eyelids, forehead, nose bridge, and neck. She presented with acute onset, moderate-in-severity stridor.

Friday, 19 October 2012

Renal Fungal Abscesses

Adel is a 2-year-old boy with down syndrome, acute lymphoblastic leukemia and persistent fever despite broad spectrum antibacterial therapy. CT scan of the pelvis showed multiple peripherally enhanced cystic lesions  in the kidneys compatible with renal abscesses. The blood culture grew candida trpicalis. He is currently on antifungal treatment.


Renal Fungal Abscesses


Monday, 15 October 2012

Treatment of Group A Streptococcal Pharyngitis


Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America

Saturday, 13 October 2012

Monday, 8 October 2012

Scarlet Fever


Group A streptococcal pharyngitis with petechiae on the soft palate 

Today in ER, I saw a 3 year old girl with 2 days history of high grade fever, sore throat, runny nose, cough and intermittent abdominal pain. On physical exam, she has a rough sandpaper rash over face and trunk and erythemtous tonsils with small whitish exudates.We took a throat culture and discharge her on Augmentin 90mg/kg/day for 10 days as a treatment for scarlet fever, but what is scarlet fever?