Impact of Pediatric Emergency Team (PET) on PICU transfers from wards and overall mortality

  • Sunit Pathak
  • Gaurav Khandelwal F H MEDICAL COLLEGE TUNDLA FIROZABAD
  • Rhythm Khera S N MEDICAL COLLEGE AGRA
  • Meenakshi Pathak DHAWAN DIAGNOSTIC PATHOLOGY

Abstract

A high index of suspicion is needed in pediatric patients with neurological symptoms being the sole presenting manifestation, to diagnose infection with the Human Immunodeficiency Virus (HIV). This is a write up of two such cases who were admitted to the pediatric intensive care unit with neurological manifestations. A 6 year old previously healthy child, who initially presented with intermittent drowsiness and fluctuation in blood pressure, later during hospital stay, developed progressive motor, cognitive, visual and language difficulties. Investigations revealed the child to be HIV positive and magnetic resonance imaging (MRI) findings were consistent with progressive multifocal leucoencephalopathy. A 12 yr old child had stroke initially (for which extensive work up had been done) and later, after 8 months presented with the same complaints along with severe pneumonia. He succumbed to severe opportunistic infections. That he was HIV positive, had not been detected during the first admission as left sided weaknesswas the only presenting manifestation.Key words: Pediatrics, rapid response team, pediatric emergency team, medical emergency response team

Author Biographies

Sunit Pathak
ASSISTANT PROFESSORDEPARTMENT OF PEDIATRICSS.N.MEDICAL COLLEGE,AGRA
Gaurav Khandelwal, F H MEDICAL COLLEGE TUNDLA FIROZABAD
ASSOCIATE PROFESSORENT DEPARTMENT
Rhythm Khera, S N MEDICAL COLLEGE AGRA
DEPARTMENT OF PEDIATRICSPOST GRADUATE STUDENT 
Meenakshi Pathak, DHAWAN DIAGNOSTIC PATHOLOGY
CONSULTANT PATHOLOGIST

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Published
2016-07-28
Section
Original Article