{"title":"Salmonella typhimurium meningitis in an exclusively breast fed infant: A case report","authors":"H. Sanjay, K. Avabratha, R. Alva","doi":"10.25259/kpj_26_2020","DOIUrl":"https://doi.org/10.25259/kpj_26_2020","url":null,"abstract":"Salmonella-related meningitis brings greater morbidity and mortality than that caused by other bacteria. We report a case of Salmonella typhimurium meningitis in a male child aged 5½ months who presented with fever, poor feeding, and irritability. Anterior fontanelle was bulged. S. typhimurium was isolated from cerebrospinal fluid. Child was treated with intravenous antibiotics for 4 weeks and he recovered completely.","PeriodicalId":217083,"journal":{"name":"Karnataka Pediatric Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114770529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An observational study of salivary C-reactive protein as a potential novel non-invasive biomarker of neonatal sepsis","authors":"Induparkavi Murugesan, Sanjeev B. Rai","doi":"10.25259/kpj_35_2020","DOIUrl":"https://doi.org/10.25259/kpj_35_2020","url":null,"abstract":"\u0000\u0000Serial C-reactive protein (CRP) monitoring helps to rule out and prognosticate sepsis. Small blood volumes in neonates make it difficult for repeated blood draws for serial CRP monitoring. Hence, the need of the hour is a non-invasive method such as CRP estimation in saliva. This study aims to correlate salivary CRP with serum CRP levels and establish the potential clinical utility of salivary CRP in diagnosing neonatal sepsis.\u0000\u0000\u0000\u0000Twenty-three consecutive neonates diagnosed with clinically suspected sepsis and admitted to the NICU were the study subjects. Demographics such as gestational age and weight at birth, sex and detailed clinical features, and comorbidities were noted. Blood samples for CRP estimation and blood culture were collected as soon as clinical suspicion of sepsis arose. Saliva samples were collected for CRP estimation within 1 h of blood sample collection. The saliva was collected in a 2 mL syringe using low suction. Salivary and serum CRP were estimated by the particle enhanced immunoturbidimetric assay.\u0000\u0000\u0000\u0000In our study, the CRP levels in saliva correlated moderately well with CRP levels in serum (Spearman correlation coefficient r = 0.582, P = 0.004). The sensitivity and specificity of salivary CRP to predict a serum level of ≥10 mg/L were observed to be 0.75 and 0.93, respectively.\u0000\u0000\u0000\u0000Our study shows the promise of salivary CRP as a potential clinically meaningful biomarker of neonatal sepsis and warrants the need for larger studies to validate the utility of salivary CRP to serially monitor neonatal sepsis.\u0000","PeriodicalId":217083,"journal":{"name":"Karnataka Pediatric Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129513668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Coronavirus disease 2019 associated stroke in a toddler – A case report","authors":"Nikhita Sawhney, Lalit Mendiratta, Neeraj Gupta","doi":"10.25259/kpj_20_2021","DOIUrl":"https://doi.org/10.25259/kpj_20_2021","url":null,"abstract":"\u0000\u0000Stroke, an infrequent entity in children, usually presents with headache, reduced cognition, and seizures as frequent findings. The association of paediatric stroke with Coronavirus disease 2019 (COVID-19) is unknown with only a hand full of postulated hypotheses till date.\u0000\u0000\u0000\u0000A 2-year-old child with sudden onset focal neurological deficits and high COVID antibody titters has been reported soon after a brief episode of cough and cold. Magnetic resonance imaging brain suggested infarct in posterior cerebral circulation. All other inflammatory markers and prothrombotic work-up were normal pointing toward a territorial affliction.\u0000\u0000\u0000\u0000Child responded well to anticoagulants (low molecular weight heparin and aspirin) with complete neurological recovery.\u0000\u0000\u0000\u0000Possibility of COVID-19 associated regional endotheliitis is very high in the aforesaid toddler. Our case is the youngest reported case of paediatric stroke with a possible association with COVID-19.\u0000","PeriodicalId":217083,"journal":{"name":"Karnataka Pediatric Journal","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123334043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Systemic toxicity in a child after topical cyclopentolate eye drops application","authors":"Abhinay Ashok, Y. M. Bhat","doi":"10.25259/kpj_23_2021","DOIUrl":"https://doi.org/10.25259/kpj_23_2021","url":null,"abstract":"An 8-year-old girl was seen in our ophthalmology OPD who had come with complaints of mild pain in both eyes for 1 month. Her unaided vision in both eyes was 6/6. Her weight was 20 kg. Cyclopentolate 1% eye drops was administered twice to the child at 5 min interval in both eyes. The child became restless after 30 min of installation of eye drops installation. She started behaving abnormally and was not allowing to do retinoscopic examination. She had altered behavior, visual hallucination, and difficulty in walking. She was disoriented with slurred speech. She had ataxia and frequent tightening of limbs with jerky movements and was plucking her hair. Her pulse rate was 90/min and blood pressure was 120/90 mm of Hg. Her oxygen saturation was 94% in room air. The child was shifted to nearby hospital where a paediatrician and anesthesiologist were available and was kept under observation. Child’s pulse, blood pressure, and oxygen saturation were monitored for the next 5 hours. The child recovered completely over the next 8 hours.","PeriodicalId":217083,"journal":{"name":"Karnataka Pediatric Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131442131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COVID-19 – A wakeup call for allergy practice transition","authors":"Neeraj Gupta","doi":"10.25259/kpj_3_2021","DOIUrl":"https://doi.org/10.25259/kpj_3_2021","url":null,"abstract":"","PeriodicalId":217083,"journal":{"name":"Karnataka Pediatric Journal","volume":"8 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121007129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Apps in Neonatology","authors":"Uthaya Kumaran, A. Shenoi","doi":"10.25259/kpj_7_2021","DOIUrl":"https://doi.org/10.25259/kpj_7_2021","url":null,"abstract":"We all stand at the threshold of the digital era where mobile and digital health is going to be the norm. A number of apps are available on the iOS and android platforms for health workers in neonatology. In this article, we have compiled the information regarding various apps related to neonatology available for android and iOS mobile devices.","PeriodicalId":217083,"journal":{"name":"Karnataka Pediatric Journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115229692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shilpa U. Kalane, Shatakshi Wagh, Manjiri Deshpande, Akshay Kenjale, Nandini Thorat, U. Devaskar
{"title":"Giggles: An indigenous new eye covering device used during neonatal phototherapy","authors":"Shilpa U. Kalane, Shatakshi Wagh, Manjiri Deshpande, Akshay Kenjale, Nandini Thorat, U. Devaskar","doi":"10.25259/kpj_22_2021","DOIUrl":"https://doi.org/10.25259/kpj_22_2021","url":null,"abstract":"\u0000\u0000Phototherapy (PT) is commonly used for neonates with indirect hyperbilirubinemia. Dislodgment and inability for spontaneous eye opening are few shortcomings with the traditionally used eye covering devices in neonates while under PT. The study objective was to describe the development of an invention for eye protection in neonatal PT. This invention aims to develop and improvised means that are comfortable for the baby.\u0000\u0000\u0000\u0000The present descriptive study was conducted in level III NICU.\u0000\u0000\u0000\u0000The invention consists of an eye protector model (Giggles) for use during the neonate’s PT, allowing lesser dislodgements and ophthalmic complications with better esthetics.\u0000\u0000\u0000\u0000The device is easy to use, and appropriate for neonates, causing no discomfort, and its safety has been proved through radiance tests.\u0000","PeriodicalId":217083,"journal":{"name":"Karnataka Pediatric Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121199842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neonatal innovations in resource-limited settings","authors":"N. Agarwal, Rakesh Kumar, G. Gupta","doi":"10.25259/kpj_11_2021","DOIUrl":"https://doi.org/10.25259/kpj_11_2021","url":null,"abstract":"In the year 2000, Millennium Declaration was signed by the world leaders to reduce the under-5 mortality rate by two-thirds from the baseline figure in 1990. Millennium Development Goal 4 was replaced by the Sustainable Development Goal (SDG) in 2015. Reduction in the neonatal mortality, which accounts for majority of the deaths in children under the age of 5 years, was an imminent goal of SDG. Despite these initiatives, the current trends in neonatal mortality are far away from the expected targets. To curb the rate of neonatal mortality, the neonatal services are expanding in India at a rapid pace. To bridge the gap between the availability and accessibility to the health care technology between the developed and developing countries, the current focus is toward the development of low-cost and effective technological innovations in neonatal care and ensuring their patenting and effective publicity. This should facilitate the translation of innovations into mass production and availability for practice with significant effect in low- and middle-income countries. Generation of evidence will increase the acceptability of these innovations by demonstrating their benefit over the currently available technologies. Fortuitously, India has developed many innovations in the neonatal health care. However, majority of the neonatologists are still unaware of the existing technological solutions, and the ways to optimally utilize them. This review is, therefore, an attempt to recognize such low-cost, effective, and sustainable innovations done in the field of neonatology, over the past few decades.","PeriodicalId":217083,"journal":{"name":"Karnataka Pediatric Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131513282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Innovation – The way forward in Neonatology and Pediatrics","authors":"A. Shenoi","doi":"10.25259/kpj_17_2021","DOIUrl":"https://doi.org/10.25259/kpj_17_2021","url":null,"abstract":"","PeriodicalId":217083,"journal":{"name":"Karnataka Pediatric Journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125257168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}