Browsing by Author "Rai, Ruchi"
Now showing 1 - 18 of 18
Results Per Page
Sort Options
Item Abacavir-based Regimen for HIV-infected Children and Adolescents(Indian Academy of Pediatrics, 2019-08) Pareek, Prince; Singh, DK; Rai, Ruchi; Srivastava, Anubha; Maurya, ManishaItem Brucella anthropi infection in a 5-week-old infant(Medip Academy, 2024-05) Gupta, Prafful; Rai, Ruchi; Singh, D. K.Congenital brucellosis in infants is well described but occurs rarely and very few cases have been reported till now. Acquired brucellosis in young infants has rarely been reported. A 5-week-old infant weighing 3340 gm, presented to the emergency with complaints of fever, abdominal distension, lethargy, and decreased feeding for five days. A clinical diagnosis of septicemia was made. Laboratory parameters were suggestive of septicemia. There was a history of ingestion of unpasteurized buffalo抯 milk. Empirical antibiotics started after withdrawing the blood culture. Blood culture came positive for Brucella anthropi. Ultrasonography of the abdomen showed a small abscess in the left iliac fossa measuring 44� mm. The antibiotics were changed to piperacillin-tazobactam and amikacin as per the blood culture and sensitivity report. Supportive care was given, and the baby gradually improved. The child was discharged on oral rifampicin and trimethoprim-sulfamethoxazole for 4 weeks and is being followed up and is doing well. Young infants may acquire Brucella infection from breastmilk or ingesting unpasteurized animal milk. Prompt diagnosis and treatment is the key to management. Exclusive breastfeeding is the best way to prevent not only animal milk-acquired Brucella but most other types of infection.Item Congenital erythropoietic porphyria.(2008-10-25) Singh, D K; Rai, RuchiItem Double Fetus In Fetu.(2011-11) Rai, Ruchi; Singh, D K; Agrahari, Dhanesh; Kamra, PankajFetus in fetu (FIF) is an extremely rare cause of infantile abdominal mass where a rudimentary, malformed monozygotic-diamniotic twin grows inside the other twin. We describe a male infant with double or twin fetuses in fetu. The diagnosis was made on a computerized tomography (CT) scan of the abdomen and confirmed on surgery. Surgical excision was done and the baby did well post operatively.Item An Experience of Facility-based Management of Severe Acute Malnutrition in Children Aged Between 6-59 Months Adopting the World Health Organization Recommendations.(2014-06) Maurya, Manisha; Singh, D K; Rai, Ruchi; Mishra, P C; Srivastava, AnubhaObjective: To study the output indicators of a nutritional rehabilitation center to assess its performance. Methods: Data of 182 children aged between 6-59 months with severe acute malnutrition in a nutritional rehabilitation center were analyzed retrospectively. Identification and treatment of severe acute malnutrition was done according to World Health Organization recommendations. Results: The recovery rate, death rate, defaulter rate, mean (SD) weight gain and mean (SD) duration of stay in the nutritional rehabilitation center were 68%, 2.2%, 4.4%, 13.0 (9.0) g/kg/d, 12.7 (6.8) days, respectively. Conclusion: Nutritional rehabilitation centers are effective in management of severe malnutrition.Item An experience with neonatal ventilation in eastern U.P.(2009-11) Rai, Ruchi; Singh, D KItem Facial nerve palsy in a neonate secondary to acute otitis media(Medip Academy, 2023-12) Saurabh, Kshitij; Rai, Ruchi; Singh, D. K.Neonatal septicemia continues to be a significant cause of neonatal morbidity and mortality. Acute otitis media may be associated with sepsis, though the association is not very common. Facial nerve palsy is a rare complication of otitis media in neonates. Other more common causes of facial nerve palsy are traumatic (birth trauma) and idiopathic (Bell抯 palsy). Through this article, we report a rare case of facial nerve palsy secondary to otitis media in a neonate with sepsis.Item Heat Injury.(2013-02) Rai, Ruchi; Singh, D K; Singh, J KItem Human sodium iodide symporter (hNIS) in fibroadenoma breast—A immunohistochemical study.(2011-02) Rai, Ruchi; Shrivastava, Ashutosh; Tandon, Ashwani; Godbole, Madan M; Kumar, Sandeep; Das, Vinita; Dwivedi, Varsha; Pal, LilyHuman sodium iodide symporter (hNIS), responsible for the active transport of iodine is an integral plasma membrane glycoprotein present in the thyroid cells and extrathyroid tissues like breast and salivary glands. If its functional form is unequivocally shown in benign or malignant breast tissues, then it may serve as a basis for diagnosis and treatment using radioactive iodine. With an aim to analyze the hNIS expression in a distinct benign breast condition of fibroadenoma, biopsy proven fibroadenoma tissues, normal non-lactating breast tissue and biopsy proven infiltrating duct carcinoma tissues were examined for hNIS expression using immunohistochemistry. Out of 20 biopsy proven fibroadenoma tissues, 19 (95%) showed positivity for hNIS protein and only one was negative. Of these 10% were mildly positive, 50% cases were moderately positive and 35% showed intense positivity. None of the control tissue obtained from reduction mammoplasty specimens or normal breast tissues samples (5 cms away from the tumor) were positive. hNIS was also intensely positive in 9 out of 10 (90%) infiltrating duct carcinoma tissues and moderately positive in one case. These preliminary results show that hNIS was present in high frequency as demonstrated by immunohistochemistry in fibroadenoma breast.Item Hypernatremic dehydration leading to peripheral gangrene.(2008-06-05) Singh, D K; Singh, D; Rai, RuchiItem Intravenous Adrenaline for Shock in Neonates.(2010-09) Rai, Ruchi; Singh, D KDopamine and dobutamine have been widely used to treat shock with variable success in newborns. In this retrospective data analysis, we report on the use of adrenaline in 20 neonates with birth asphyxia and shock that was refractory to dopamine and dobutamine. We concluded that adrenaline is a safe and effective drug that can be used as an add-on therapy to dopamine and/or dobutamine in newborns with shock secondary to birth asphyxia.Item Lichen nitidus.(2008-11-26) Rai, Ruchi; Singh, D KItem Maternal Profile of Children with Severe Acute Malnutrition.(2015-04) Rai, Ruchi; Singh, D KItem Nucleated RBC Count as Predictor of Neurological Outcome in Perinatal Asphyxia.(2014-03) Rai, Ruchi; Tripathi, Gaurav; Singh, D KThe immediate and short term outcomes of term newborns with perinatal asphyxia were studied in relation to the nucleated red blood cell count at admission. The mean (SD) NRBC/100WBC (white blood cells) was significantly higher in sequelae group than normal [9.8 (98.9) vs. 2.9 (43); P = 0.001].Item Primary amebic meningoencephalitis.(2008-12-09) Rai, Ruchi; Singh, D K; Srivastava, A K; Bhargava, AnuditaWe report an 8 month-old infant with primary amebic meningoencephalitis (PAME) due to Naegleria fowleri. The child was treated with amphotericin B, chloramphenicol and rifampicin for 3 weeks. PAME is an almost universally fatal condition with very few survivors till date. Our patient was one of the rare survivors who recovered after treatment and was discharged without any residual neurological deficit.Item Recurrent meningitis secondary to isolated C3 deficiency.(2009-01-30) Singh, D K; Rai, RuchiA 5-year-old child presented with the second episode of meningitis when we started investigating her to find a cause for recurrent episode of meningitis. During this she suffered from a third attack after which she was diagnosed as having isolated C(3) deficiency. She was put on penicillin prophylaxis and vaccinated against encapsulated bacteria, after which she is now doing well.Item Sero-prevalence of viral Co-infections in HIV infected children of northern India.(2009-09) Bhargava, Anudita; Singh, D K; Rai, Ruchi; HIV Infections --epidemiologyObjective. To assess the prevalence of viral co-infections in HIV infected children. Methods. Children born to HIV seropositive parents and those children who were suspected to be HIV infected based on clinical presentation by the pediatrician were screened for HIV –1 and 2 antibodies as per National Aids Control Organization (NACO) guidelines. Those found to be seropositive for HIV infection were further tested for Hepatitis B&C, Herpes simplex virus and Human cytomegalovirus infection. Results. Among 803 children screened, 101 were found positive for HIVantibodies. Among the five viral markers tested, HCMV IgG was positive in 88 children (87.1%). HCMV IgM was positive in 35 cases (34.6%). HBsAg tested positive in 30 children, while anti-HCV IgM was reactive in 27 cases. IgM anti- HSV antibodies were observed positive in 59 (58.4%) cases. Both hepatitis virus coinfection (HBsAg and anti- HCV IgM antibodies) was observed in 10 HIV positive children, while both Herpesviridae family viruses (HCMV -IgM antibodies and HSV -IgM antibodies) were positive in 30 cases (29.7%). Conclusion. Viral co-infections are significantly higher in HIV positive children, which adds to significant mortality and morbidity and should therefore be screened in all HIV positive children for timely treatment in order to improve the quality of life and better survival of HIV infected children.Item Supplementary Suckling Technique for Relactation in Infants With Severe Acute Malnutrition.(2014-08) Singh, D K; Rai, Ruchi; Dubey, ShashiWe report on use of supplementary suckling technique in 62 infants [mean (SD) age 2.5 (1.3) mo] with severe acute malnutrition admitted at our Nutritional rehabilitation Center. It was successful in 34 (55.7%) infants.