Indian Journal of Trauma and Emergency Pediatrics

 Hemophagocytic lymphohistiocytosis (HLH), is a rare, fatal condition characterised by  excessive activation of lymphocytes and macrophages due to a highly stimulated but ineffective immune process. We report a case of secondary Hemophagocytic Lymphohistiocytosis in a 13 year old boy presenting with fever, splenomagaly  and bicytopenia due to infection caused by P.falciparum.

 Marfan Syndrome is autosomal dominant disorder, characteristically with cardiovascular, eye and skeletal, features. Mutation in fibrillin-1 on chromosome 15 is detected in 66–91% of cases. Some cases may be due to mutation in TGFbRl or TGFbR2. Prophylactic medical treatment to protect the aorta with regular follow-up helps prevent or delay serious complications. Prophylactic aortic surgery should be considered when the aortic root at the Sinus of Valsalva exceeds 5 cm.

Keywords: Cardiac Tamponade; Amebic Liver Abscess; Hepato-Pericardial Fistula. 

 Adolescents  have  suffered  from  disorders  of the  genital  tract  since  human race  began. Malformations  may affect the genital tract  alone or in  association with  urinary  tract or  intestinal  tract Anomaly. Formation  of haematocolpos and or  haematometra  due to the  obstruction  to the outflow  tract  is also known as cryptomenorrhea. In presence of normal  uterus,this  could occur mainly due to imperforate hymen,transverse vaginal  septum,absent vagina.Obstructive lesions of the genital  tract in adolescent femalemay present as acute abdomen. The issues of congenital malformations of  genital tract  are complex pschycologically and gynaecologically. Patient should be treated in multidisciplinary, holistic  manners. Knowledge of  the clinical presentation and Management of these cases is extremely important. 

Keywords: Obstructive Lesions; Imperforate Hymen; Transeverse Vaginal Septum; Acute Abdomen.

Keywords:   Larynx; Bronchi; Asphyxiating; Bronchoscopy .  

Keywords: Late Preterm Infants; Neonatal Morbidities; Term Infants. 

 Background: Anemia is one of the main nutritional deficiency disorders affecting a large proportion of the population, not only in developing but also in industrialized countries. Anemia in pregnancy is an important preventable cause of maternal and fetal morbidity and mortality. Materials and Methods: All the singleton live born babies born at Adichunchanagiri Institute of Medical Sciences, Mandya from December 2012 to November 2013. Maternal haemoglobin sampling was done under aseptic precautions. To know the severity of anemia, the cases were further divided as per ICMR criteria and 2 ml of cord blood was collected after delivery of the baby for measuring neonate’s cord blood hemoglobin levels. Cord blood < 14 g/dl was considered as neonatal anemia. Results: 1269 mothers in the third trimester were included and hemoglobin estimation was done. 47 (21.36%) anemic mothers had preterm babies. 70(6.67 %) of non anemic mothers had preterm deliveries. Term deliveries constituted (90.8%), 979 (93.32%) were born to non anemic mothers and 173 (78.63%) to anemic mothers. Incidence of low birth weight babies was 24% of which extremely low birth weight babies constituted 1.31%, very low birth weight of 4.26%  and low birth weight were 964( 94.42%). Conclusion: Incidence of preterms, IUGR, low APGAR at 1 min, NICU admissions and neonatal anemia was higher in mothers with anemic Hb levels.