HIV In Children
 
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Question
Dear sir I want to ask you few questions in the field of pediatric. We were isolated from world for 15 y due to previous embargo and now by U.S occupation. I have lost2 of my patients 2months ago with 1 month apart between them.Both patients are below 6 month presented suddenly by high fever ,grunting apathy,poor apetite. On exam. nothing apart from Fever 39.5c Tachycardia Drowsy Hepatomegaly 2f below costal margine. Over few hours sudden deterioration ,convulsion then passed. Investigation; normoglycemic .and due to our miserable condition nothing is available . Treatment; i.v fluid ,antibiotic oxygen What are the most likely diagnosis? Dr.Naji A.Ahmed Pediatrician Iraq anbar heet
Answer
Since both patients had similar presentation with no relation between them, it does not seem to be a metabolic disorder. Since both had fever, it is suggestive of infection. Also hepatomegaly, tachycardia and convulsion may suggest severe sepsis, meningitis or viral hemorrhagic fever.
 
 
 
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