My one year old male child (weight 7 Kg) has had an history of chronic diarrhoea right from when he was 2 month old. At the age of 7 months, the stools turneed greener and occassionally traces of blood started appearing in the stool. The child was still playful and hence oral treatment with furazolidine was given, followed by routine antibiotics and probiotics but the symptoms persisted. On his first birthday he was febrile and irritable refusing to take food. Hence he was hospitalized and was administered conservative IV fluid amd electrolytes along with ceftrioxone(IV) and amikacin for 7 days and was discharged. After two days he again became febrile and irritable with 13 motions in a day.Hence, he was admitted once again and an USG examination was performed. The USG showed a 1.1 cm colocolnic intusuception which remained the same on next day when USG was repeated. Hence lapratomy was performed and intusucception was scorrected and caecum was fixed without any apoptosis no necrosis, tubercles etc were seen. A seemingly innocent appendix was removed and was sent for histopath. The section was found to show tubercular appendicitis and was confirmed with resection done in another lab. Postoperatively the child is highly irritable but not febrile and no vomitting. The stools are green with traces of blood seen occasionally.Reply Follow This Thread Stop Following This Thread Flag this Discussion
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