Sriram Pothapregada

• M.D Pediatrics
• Head of Department at All India Institute of Medical Sciences Bilaspur

Background: Depression in children and adolescents has been increasing worldwide especially in the adolescence. Despite its high prevalence and its substantial impact, the detection and its treatment in primary care setting have been suboptimal. To estimate the prevalence of depression among 8-17 years attending OPD at a tertiary care hospital and...

Introduction Transferring patients between hospitals is an important aspect and is often the weak link in the health system. Robust real-time communication before transfer may be a valuable tool to improve the emergency care of children. Our study was aimed at developing evidence for the effectiveness of efficient communication networks between a t...

Introduction In children with acute illness or injury, timely access to healthcare is crucial for optimal outcomes, including early identification, prompt stabilization, and appropriate referral. Prehospital transport practices often represent a weak link in the system and are frequently underreported. Enhancing these practices could greatly benefi...

We studied the adherence to Government of India guidelines for home treatment of asymptomatic/mild covid-positive children, whereby a family member is designated as caretaker for the patient. Proportion of caretakers adhering to guidelines was 68%. Persistence in adherence was 6 (1.4) days. 14 children (16.5%) developed symptoms while in home isola...

Apnea of prematurity (AOP) is an extremely common problem in preterm babies. Several invasive and non-invasive methods of treatment have been studied. We present a novel non-invasive method of managing intractable apnea in preterm neonates.

Background: This study was conducted to study the clinical profile of hypoglycemia in newborn and to determine the prevalence of hypoglycemia among neonates admitted in NICU.Methods: All newborns admitted in NICU were examined and those with hypoglycemia (GMR<45 mg/dl) were included in the study and observed. In neonates with risk factors blood sug...

Background: Quantitative EEG is a rapidly emerging tool in the diagnosis and follow up of various neurological disorders and can act as predictive marker for subsequent epilepsy in children with complex febrile seizure. The present study aimed to estimate the prevalence of abnormal electroencephalogram (EEG) and to find the association between Quan...

This cross-sectional study was done to find the agreement between non-contact infrared thermometry and mercury-in-glass thermometer. Two hundred and fifty febrile infants were recruited over a period of two months and axillary temperature was measured by both techniques. The mean (SD) temperature recordings of infrared and mercury thermometer were...

Background: The objective of the study was to evaluate and analyze the role of preceding early warning signs at admission in children with severe dengue infection.Methods: All children (0-12 y of age) diagnosed and confirmed as dengue fever admitted at a tertiary care hospital at Puducherry were retrospectively analysed from hospital case records a...

Introduction: Dengue fever is the most rapidly spreading mosquito borne viral infection with a 30-fold increase in the disease burden over last five decades with a variable clinical course and outcome. The World Health Organization (WHO) published treatment guidelines in 1997 and further revised in 2009 to facilitate early diagnosis and interventio...

CORRESPONDENCE bullying [5]. Children and adolescents should have a better communication with parents and teachers to reduce the negative effects of cyberbullying. A 23-year-old woman with term pregnancy was admitted in our hospital with high fever, headache and myalgia for 7 days. Dengue NS1 antigen and IgM antibodies against dengue virus were pos...

Introduction:Acute fever of 2 weeks duration with non-specific signs and symptoms is known as acute undifferentiated febrile illness (AUFI). Owing to non-specific presentation, it remains a diagnostic challenge. Hence the present study focuses on etiology and clinical profile of undifferentiated febrile illness. Methodology: All children aged 2-12...

Objective: To study the clinical profile and outcome of dengue fever in children at a tertiary care hospital in Puducherry. Materials and Methods: All children (0-12 years of age) diagnosed and confirmed as dengue fever from August 2012 to January 2015 were reviewed retrospectively from hospital case records as per the revised World Health Organiz...

Introduction: Dengue fever is a major public health problem worldwide. The 2011 revised World Health Organization (WHO) guidelines have emphasized on early diagnosis and intervention to reduce the case fatality rate due to dengue fever. Rapid diagnostic tests like NS1 antigen assays have improved the detection of cases in early clinical phase of il...

Objectives: To study the role of ultrasound in children with dengue fever and determine its role in predicting the severity of the disease. Methods: This was a retrospective hospital based study conducted from 1(st) August 2012 to January 31(st) 2015 at a tertiary care hospital in Puducherry. Results: Two hundred and fifty four children were a...

Objectives: To study the clinical profile and outcome of the atypical manifestations of dengue fever in children. Methods: All children (0-12 y of age) diagnosed and confirmed as dengue fever at a tertiary care hospital at Puducherry, between the 1st of August 2012 and January 31st 2015 were reviewed retrospectively from hospital case records as...

Background & objectives: The indications for platelet transfusion in dengue fever are clearly defined in World Health Organization (WHO) guidelines (2011) for dengue fever, but physicians face practical difficulty in its implementation in an epidemic setting. On one hand there is an intense social pressure created by the panic-struck parents to tra...

Background & objectives: The indications for platelet transfusion in dengue fever are clearly defined in World Health Organization (WHO) guidelines (2011) for dengue fever, but physicians face practical difficulty in its implementation in an epidemic setting. On one hand there is an intense social pressure created by the panic-struck parents to tr...

Objectives: To evaluate and analyze the clinical and laboratory parameters that were predictive of the development of shock in children with dengue fever. Subjects and methods: Retrospective study carried out from August 2012 to July 2014 at a tertiary care hospital in Puducherry. Results: Two hundred and fifty-four children were admitted with...

We read with interest the position paper of Indian Academy of Pediatrics on AEFI surveillance [1]. In addition to the web –based facilities and SMS alerts, we propose that a mobile application should be developed for prompt reporting of AEFI. Mobile app is immensely useful in expedited delivery of such information to the concerned authorities by th...

We read with interest the position paper of Indian Academy of Pediatrics on AEFI surveillance [1]. In addition to the web –based facilities and SMS alerts, we propose that a mobile application should be developed for prompt reporting of AEFI. Mobile app is immensely useful in expedited delivery of such information to the concerned authorities by th...

Severe neurological complications are associated with falciparum malaria. We describe the case of an eight-year-old male child with severe falciparum malaria with high-level parasitemia and severe thrombocytopenia. There were features of abnormal gait, speech difficulty and altered behavior pattern during the recovery phase. This occurred even afte...

Accidental aspiration of kerosene is a common problem among children in developing countries. This descriptive study involved the retrospective analysis of children admitted with kerosene aspiration in a tertiary care hospital in South India for a year. Kerosene aspiration contributed to 60.4% of poisoning cases. Boys aged less than three years and...

Dyshormonogenetic goiter resulting in neck swelling in a fetus is very unusual . We present a case of congenital dyshormonogenetic goitre in a fetus with hypothyroidism and respiratory distress at birth. He underwent planned EXIT procedure.

Hiatal Hernia is rarely seen in a neonate. The mode of presentation in the neonatal period can be confused with the possibility of a congenital diaphragmatic hernia and other chest pathologies. The upper gastrointestinal tract contrast study is diagnostic in this disease, but careful viewing of the plain X-ray of the chest can also suggest the diag...

To study the clinical profile and outcome of children screened and diagnosed for Swine flu at a tertiary care hospital. All Children with suspicion of swine flu infection attending our hospital during the epidemic from August 2009 through January 2010 were screened and categorized into A, B and C as per guidelines of National Health and family welf...

A female neonate who was born as large for gestational age baby to a Diabetic mother had a continuous murmur in the left infraclavicular area with scolisis toward right and deficient ribs in the right side of her chest wall. She had a sacral dimple and a skin tag in the right lower back. Radiograph revealed hemivertebrae from T1-T6 level with absen...

Parapagus dicephalus tribrachii bipedus conjoined twin is uncommon. We report a case with a single body fused anterolaterally with two heads ,two fully formed upper limbs and a rudimentary limb between the heads which was delivered by caesarean section. Introduction:

Wilson's disease (hepatolenticular degeneration) is a rare, treatable, autosomal disorder of copper metabolism leading to liver and brain damage. Its incidence is 1/500,000-1/100,000 live births with more than 250 different mutations [1]. However its association with Heterotaxy syndrome in the form of situs inversus totalis has not been reported ti...

Gastro esophageal reflux disease is one of the rare causes of bronchiectasis in children. However, to the best of knowledge its association with pulmonary aspergillosis has not been reported till date in the medical literature [1]. We report a child with gastro esophageal reflux disease with bronchiectasis and pulmonary aspergillosis.

Neonatal Marfan syndrome is rarely diagnosed at birth due to unusual clinical presentation. The case reported here describes a neonate with typical features.

Hereditary sensory and autonomic neuropathy type IV or Congenital insensitivity to pain with anhydrosis is a rare disorder. It is an autosomal recessive disorder characterized by absence of small myelinated and unmyelinated sympathetic nerves resulting in pain and temperature insensitivity. There is also anhydrosis due to lack of innervations of sw...

A 10-yr-old boy was brought with complaints of recurrent bouts of vomiting, pain abdomen and paraesthesias around his lips within an hr of ingesting freshly cooked fish eggs. Later over the next two hr he developed unsteadiness and difficulty in walking and standing. He was treated with intravenous fluids and kept under observation in Emergency Med...

Hyperimmunoglobin E syndrome is a rare primary immunodeficiency disease characterized by recurrent infections, eosinophilia and high titre of IgE. Although 200 cases has been reported worldwide, to the best of our knowledge its association with chronic diarrhea has not been reported till date in Indian literature and hence this case report.

Congenital factor X deficiency is a rare autosomal recessive disorder that usually presents with variable bleeding tendency, prolonged prothrombin time and partial thromboplastin time. Therefore, it may be misdiagnosed as hemorrhagic disease of the newborn. We describe a patient with factor X deficiency who had recurrent haematomas with intracrania...

Sirenomelia is an uncommon congenital malformation. We describe a newborn with clinical features of sirenomelia with fused lower limbs, anal atresia, bilateral renal agenesis and a single umbilical artery.

Gastro esophageal reflux disease is one of the rare causes of bronchiectasis in children. However, to the best of knowledge its association with pulmonary aspergillosis has not been reported till date in the medical literature [1] .We report a child with gastro esophageal reflux disease with bronchiectasis and pulmonary aspergillosis.

Hereditary sensory and autonomic neuropathy type IV or Congenital insensitivity to pain with anhydrosis is a rare disorder. It is an autosomal recessive disorder characterized by absence of small myelinated and unmyelinated sympathetic nerves resulting in pain and temperature insensitivity. There is also anhydrosis due to lack of innervations of sw...

Neonatal diabetes mellitus is a rare form of insulin dependent diabetes mellitus that presents within the first month of life, lasting for at least two weeks and requiring insulin therapy. We report such a case admitted in our hospital.