The Journal is the primary organ of Continuing Paediatric Medical Education in Sri Lanka. journal also has a website. Free full text access available for all readers.The Lanka Child Health now indexed SciVerse Scopus (Source Record ID 19900193609), Index Medicus South-East Asia Region (IMSEAR), CABI (Centre Agriculture and Bioscience International Global Database), DOAJ Google, as well Google Scholar.The policies are modelled on Committee Publication Ethics (COPE) Guidelines Principles...

Background: Although, diphtheria is eliminated by many developed countries effective immunization, still continues to be endemic in India and leading cause of morbidity mortality, especially areas the border two states. The objective present study was recognize clinical profile, mortality pattern their immunization status as a retrospective observational performed pediatric wards paediatric intensive care unit.Methods: medical records were recovered from case files, searching for cases...

Background: Sepsis is responsible for 30-40% neonatal deaths which can be attributed to various maternal, and sociocultural risk factors. Objective: To recognize the clinical laboratory factors of mortality in extramural sepsis. Material methods: Prospective observational study was conducted duration one year on neonates with suspected Maternal, were analyzed. Results: Average hospital stay shorter non-survival compared survival (p=0.01). On univariate analysis preterm (p<0.001),...

Background: A defective synthesis of vitamin D contributes to alterations in calcium homeostasis due chronic endocrinopathies, leading metabolic bone diseases. This study aimed ascertain the levels calcium, D, and parathyroid hormone (PTH) children with β-thalassemia. Methods: In this case-control study, 36 major β-thalassemia receiving iron chelation therapy were included. For control group, cases matched for age sex selected. The packed cell volume (PCV) requirements varied among...

Rabies is a fatal zoonotic disease transmitted primarily by dogs, cats, and bats, which accounts for approximately 59,000 deaths globally per year. An 8-year-old boy from rural central India developed an atypical presentation of rabies following street dog bite in spite receiving postexposure prophylaxis proper care Category III wounds. A diagnosis was made on the basis clinical background, neuroimaging finding, excess antibody titer, detection viral antigen serum, exclusion other...

Background: Neonatal period carries higher risk of death inspite advances in perinatal and neonatal services. The objective the study was to assess morbidity/mortality pattern intramural extramural neonates.Methods: Prospective observational undertaken on all neonates who fulfill inclusion criteria at a tertiary institute for one year. Morbidity mortality patterns were analyzed.Results: A total 1770 997 required admission during period. Mortality rate neonate 22.26% while 28.79%. male female...

Precocious puberty is a common complaint in pediatric medicine these days with numerous causative factors. Though adrenocortical tumors are extremely rare children, the differential diagnosis broad androgen producing adrenal adenoma. Pediatric therapeutic and diagnostic challenges because histological criteria for distinguishing benign from malignant seen adult not always reliable children. Here, we report 2 year old toddler precocious hyperglucocortism hypertension. His plasma testosterone,...

Objective: The objective of this study is to evaluate the presence and severity cardiac involvement in asphyxiated neonates established which clinical laboratory parameters (electrocardiogram [ECG], echocardiography [ECHO], enzyme) are reliable predictors myocardial ischemia. Design: Nested case–control study. Setting: Neonatology unit tertiary care institute. Materials Methods: group consist 90 term who had APGAR score <7 at 5 min as cases neonate >9 controls. On 2nd day life (between...

Background: Snake bite is generally considered to be a rural problem and has been linked with environmental occupational condition neglected public health problem. This study was conducted ascertain clinical profile, complication outcome of snake in pediatric population. Methods:Retrospective observational done paediatrics wards Paediatric Intensive care unit tertiary institute. A medical record files 80 patients snakebite, between the periods January 2011 February 2016 were recovered from...

Background: Clinical jaundice is evident in more than two-third neonates their early neonatal life. Early identification of at risk might allow intervention and prevent complication. Objective the study was to assess cord blood bilirubin level as a tool screen development subsequent significant hyperbilirubinemia term neonates.Methods: A prospective observational conducted over period 2 years on 1040 healthy neonates. Demographic profile, relevant maternal information were recorded....

Abstract Sacrococcygeal teratoma is considered the most common tumor in neonatal period with a female-to-male ratio of 3–4:1. They are believed to arise early gestation from totipotential cells Hensen’s node and derived ectoderm, mesoderm, endoderm. A 2.25 kg cesarean-delivered male, term neonate presented large nonpulsatile, globular erythematous mass lobulated surface variable consistency. Magnetic resonance imaging lumbosacral spine showed multilocular cystic solid lesion foci...

Objective: Recognizing the seasonal and monthly variation of Guillain Barre syndrome. Design: Retrospective observational study. Setting: Pediatric wards Intensive Care Unit. Methodology: A medical record files 52 patients GBS, between periods May 2011 to April 2016 were recovered from Medical Record Statistics Section institute. Files analyzed for demographic data, antecedent’s factors, time occurrence with respect months & seasons data was analyzed. Result: In our series...

Campomelic dysplasia is a rare, lethal, and autosomal dominant inherited disorder with reversal of sex in genotypic male two third cases. An eight-month-old phenotypic female infant was admitted respiratory distress failure to thrive. She had facial dysmorphism, cleft soft palate, pectus excavatum deformity, bowing lower limbs, dimpling at right knee area bilateral congenital talipes equinovarus deformity. Radiographs shows 11 pairs ribs, hypoplastic scapula, tibia fibula. Karyotyping...

Introduction: Worldwide, sickle cell disease (SCD) is the most common hemoglobinopathy among which SS pattern more common. Although hydroxyurea (HU) approved by Food and Drug Administration for treatment of recurrent moderate-to-severe painful crises in pediatric anemia, there a fear toxicities. Objectives: The objectives study were to evaluate short-term safety beneficial effects low-dose HU therapy SCD (SS pattern) children. Materials Methods: This prospective cohort enrolled 40 cases...

Germ cell tumors are predominantly found in the gonads, and most common extragonadal site is anterior mediastinum. Usual symptoms cough, dyspnea, fever, chest pain due to mass effect or intrapulmonary invasion but hemoptysis rare may result from either communication with tracheobronchial tree bronchial bleeding irritation by tumor. As our case, patient presenting massive shock rarest presentation of a benign teratoma.

Conradi–Hunermann syndrome is a common form of chondrodysplasia punctata, inherited as X-linked dominant disorder cholesterol metabolism due to mutation emopamil-binding protein gene resulting in spectrum skeletal, cutaneous, and ocular abnormalities. One-day-old premature, cesarean-delivered female neonate admitted with xerotic, featherlike yellow-to-white hyperkeratotic scale all over the body craniofacial defect, coarse hair, patches cicatricial alopecia, absent eyebrows. Baby had...

<h3>Background</h3> Introduction: <b>Clinical Risk Index for Babies score II</b> (<b>CRIB II score</b>) is a five-items scoring system to predict initial risk of mortality among neonates less than 32 weeks gestation. Thus, making it an easy, quick and economical tool early detection preterm neonates’ in resource limited busy centres India. <h3>Objectives</h3> Objective: To validate the efficacy predicting pre-discharge neonatal <i>early neonates</i> needing intensive care high tertiary...

The Journal is the primary organ of Continuing Paediatric Medical Education in Sri Lanka. journal also has a website. Free full text access available for all readers.The Lanka Child Health now indexed SciVerse Scopus (Source Record ID 19900193609), Index Medicus South-East Asia Region (IMSEAR), CABI (Centre Agriculture and Bioscience International Global Database), DOAJ Google, as well Google Scholar.The policies are modelled on Committee Publication Ethics (COPE) Guidelines Principles...

Bronchogenic cyst is an unusual congenital pulmonary malformation which may occur at various sites of tracheobronchial tree as well ectopic site like cervical, scapular region, pericardium and abdomen. Newborn with large can develop respiratory distress, cyanosis feeding difficulty. A 37 day old male infant presented failure to thrive, difficulty, distress cyanosis. His chest radiograph was suggestive shift mediastinum heart hyperinflatted left lung. CT thorax showed minimal enhancing cystic...

Omphalocele is an anterior abdominal wall defect at the base of umbilical cord, with herniation contents which are covered by a membrane and associated very high incidence structural chromosomal anomalies including heart defect, vesical, genital or diaphragmatic malformations. A 1000 gm preterm neonate was born vaginally, to non-consanguineously married primi mother uneventful pregnancy. On examination baby had large thin widely open bulging fontanellae. Eyes, ears lips were well developed...

Background: Over the past few decades, burdens of very low birth weight (VLBW) preterm infants are increasing due to advances in obstetrics and perinatal services. Objectives study were assess predictors mortality extramural VLBW neonates.Methods: Prospective one year cohort was undertaken on neonates fulfilling inclusion criteria at a tertiary institute. Maternal neonatal demographic data analyzed.Results: Male female ratio 1.26:1. One hundred thirty seven (74.9%) had weights from 1000-1499...

Background: Assessing the maternal risk factors for seizure in first 72 hours of life term neonate. Design: Case control study. Setting: Department Paediatrics, Neonatology unit and Maternity ward tertiary care centre Govt. Medical College, Nagpur. Methods: A 210 cases [Term neonate with within life] controls without were randomly selected as study subject over a period two year. Primary exposure variables mothers including age, parity, diabetes mellitus, hypertension, anemia, intrapartum...