Subcutaneous zygomycosis is an unusual disorder caused by a rare fungus, Basidiobolus ranarum. We report this entity in a 4- yr- old boy. Biopsy showed the Splendore Hoeppli phenomenon and the culture yielded Basidiobolus ranarum. The child responded to saturated solution of potassium iodide within 1 month of starting treatment.
To study the impact of Complimentary feeding practices on Nutritional status and Speech of 12 to 36 months of well nourished children. We took children aged 12 to 36 months who visited paediatric OPD from the month of January to April 2019. Mothers of children who were willing to participate in the study were interviewed on a pre-designed questionnaire which had questions pertaining to socio-demographic characteristics of parents, infants and toddlers characteristics, breastfeeding and complimentary feeding details, infants and toddler environment (Annexure1). Weight, height, head circumference (on WHO Growth charts) and speech development of the child (on LEST scale) were recorded by the paediatrician. Prevalence of malnutrition in our study is 9.2% and speech delay is 29.2%. Malnourished children was significantly associated with maternal education (p 0.016), Annual income of parents (p=0.002), time of introduction of complimentary feeding (p=0.040), food diversity (p=0.000) and food frequency (p=0.000) (Table 3). Children with speech delay was significantly associated with change of texture of food (p 0.000). Maternal education, Annual income of parents, time of introduction of feeding, food diversity and food frequency of complimentary feeding significantly impacts Nutritional status and change of texture of complimentary feeding significantly impacts speech of infants between 12 and 36 months. Keywords: Complimentary feeding, Speech, Malnutrition
Multisystem inflammatory syndrome (MIS) is a rare and severe post-infectious inflammatory disorder involving multiple systems (cardiovascular, gastrointestinal, dermatologic, nervous system, and haematological) without significant respiratory involvement. It is predominantly seen in children but sometimes in adults, usually after 3-6 weeks of COVID-19 infection or vaccination. It is postulated to be due to immune dysregulation. This case report adds to the limited literature available on post COVID MIS in adults, emphasizing how to reach the diagnosis after ruling out other differentials. Timely initiation of treatment gives gratifying results in most patients.
Dengue is a common mosquito-borne infection in India. We reported a rare Pharyngeal cervical brachial (PCB) variant of Landry Guillain Barre syndrome (LGBS) associated with the dengue virus infection. The pathogenesis seems to be molecular mimicry between gangliosides and microbial lipo-oligosaccharides. PCB usually presents with oropharyngeal or cervicobrachial weakness. Therefore, it must be recognised early and distinguished from conditions presenting with cephalocaudal progressing weakness, such as Myasthenia Gravis, Miller-Fisher syndrome, botulism, diphtheria, porphyria or brain stem stroke. The aim of the study was to add to the limited literature on the PCB variant of LGBS after dengue infection and shed some light on presentation and management options for this rare entity.
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