Case of Kikuchi Fujimoto disease

Dr.SreeLekshmys, Dr.C.Jayakumar, DrSuma Balan Dr.Praveena Bhaskaran Dr.Navya George 10yr old boy presented with high grade intermittent fever of two months and was on treatment from other hospitals .He was febrile but with other stable vitals .Multiple bilateral tender cervical lymphadenopathy, largest measuring 2×1 c/m was palpated in the cervical region . Systemic examination was unremarkable.  CBC Read More …

Leukaemia scare 

Dr Jerin.K.John,Dr C.Jayakumar,DrPraveena Bhaskaran ,DrNavya George  16 year old boy apparently normal presented with sore throat and dysphasia of 2 weeks duration associated with high grade intermittent fever for more than 2 weeks duration.Actually he came to our hospital hospital on his own when Bone marrow examination was suggested as part of work up .He Read More …

Anaemia ,Iron not working

DrJoe Paul ,DrPraveena,DrNavya George DrSuchithra Sivadas, Dr.Rema ,Dr.C. Jayakumar3 month old male child, late preterm 3rd child of non consanginous marriage with normal growth and development, immunized for age and who was also on follow up for anemia was brought with complaints of increasing pallor.On day 2 of life child had Non A Non Haemolytic Read More …

Skin bleeds always create panic 

Dr.Akshay Kishore , Dr.C.Jayakumar , Dr. Suchithra Sivadas AIMS kochi. 17 year old boy apparently normal not on any se medication till now presented with a contusion over his abdomen alleged to have occurred following a hit with the elbow his friend Subsequently two such contusion developed over his loin and in the fore armDifferential Read More …

Case of fever with rash

DrMehak ,DrC Jayakumar DrPraveena Bhaskaran ,DrNavya George  Nine year old girl presented with low grade intermittent fever of 4 days and pin point erythematous well circumscribed non pruritic flat rashes over  lower limbs. Over the next 4 days, the rashes increased in size and number, became raised over skin surface and smaller rashes coalesced to form Read More …

Beyond the Swellings- A Bony Tale

Dr. Venumadhav, Dr.Suchitra Sivadas, DJayakumarAims Kochi10 year old female presented with complaints of cough andlobulated swellings in periorbital area, neck and left shoulderwith restriction of movements. Child was investigated at herprimary care hospital itself. Swellings reduced in size overnext 2-3 weeks but became more firm to hard. As X-ray chestand Usg chest showed evidence of Read More …

Tiny Warrior – Case of Germ cell tumor

Dr.Ch Venkat Kumar raju, Dr.C. Jayakumar One year old asymptomatic child  presented with fever one week  and irritability  poor oral intake of three days and  B/L lower limb swelling. Symptoms suggestive of cardiac renal and hepato biliary systems were absent . Referral was for High counts and abnormal sonogram Differentials considered were  Renal, hepatic problems, Malnutrition ,lymphedema and cardiac Read More …

Case of Atypical Kawasaki Disease

Dr.B.Shobika,Dr.C.Jayakumar,Dr.Praveena Bhaskar and Dr.Navya George AIMS KOCHI Two year old male child presented to the ER with high Grade intermittent fever of 10 days. child was febrile,sicklooking,irritable with stable vitals.General examination revealed bilateral cervical lymphadenopathy,congested throat,slightly erythematous lips but Tongue was normal  His systemic examination was normal  Hemogram showed leucopenia and Neutropenia,CRP-194mg/l,procalcitonin-3.43ng/ml,ESR of 135mm.Peripheral smear Read More …