Kallenahalli Jagadish Kumar

JSS Medical College, Mysore | JSS · department of pediatrics

Almost 56% of Indian adolescent girls aged 15–19 years suffer from anemia. Adolescent age is a period of many significant physiological changes that increase nutritional demand, and they remain at risk for nutritional deficiencies. Our aim is to assess the prevalence of Vitamin B12 deficiency among school-going adolescent girls aged 13–16 years of...

Background: Child growth and development is multifactorial influenced by the environment, living conditions, socio-demography and various other demographic factors. Infant feeding practices breastfeeding practices are important components to be addressed. Therefore, online counselling provides a good service for mothers to access useful information...

Background Febrile seizures (FSs) are the common presentations of seizures in childhood. Activation of cytokine network plays a significant role in the genesis of FSs. Interleukin (IL)-6 is often considered as key cytokine in the generation of FSs. Objectives To compare the serum IL-6 levels in children between simple febrile seizures (SFSs) and fe...

Respiratory illnesses are common indications for mechanical ventilation in children. The adequacy of ventilatory support for oxygenation is measured using arterial blood gas analysis and calculation of oxygenation index (OI). Due to invasive nature of arterial blood sampling needed to calculate OI, several researchers have replaced blood gas-derive...

Hepatitis E virus (HEV) infection is a significant public health problem, which infects 20 million individuals every year. The clinical presentation of acute HEV infection is similar to hepatitis A virus (HAV) infection, and few affected children may progress to develop acute liver failure. Extrahepatic manifestations involving other systems have b...

Introduction: Significant increase in plasma leakage is characteristic of severe dengue. This results in collection of fluid in serous cavities. Gall bladder wall thickening (GBWT) often precedes the development of pleural effusion and ascites. Early detection of plasma leakage and management is shown to reduce mortality in dengue illness. Ultrason...

Introduction: Clonidine is among the drugs that are in a list of 'one pill can kill' drugs. We are reporting a child with clonidine toxicity with classical manifestations who recovered completely. Case Report: A 3 year and 2 months old ADHD girl presented with drowsiness for 30 minutes. Her mother gave the history of accidental consumption of 3/4 t...

Introduction: Iron overload in thalassemia catalyses the production of a variety of reactive oxygen species leading to cumulative cell damage. Ischemia modified albumin (IMA) is an end product of oxidative stress. It is imperative to pick up oxidative stress early in order to prevent the organ damage in thalassemia. Therefore this study was underta...

Hemofagositik lenfohistiyositoz (HLH), birincil olabilen veya enfeksiyon, malignite veya romatolojik hastalığa ikincil olabilen, hayatı tehdit eden ve nadir görülen bir bağışıklık sistemi bozukluğudur. Hindistan gibi tropikal ülkelerde ikincil HLH daha yaygın olarak görülmektedir. Tropik bölgelerde tüm akut ateşli hastalıkların yarısından fazlasına...

Expanded dengue syndrome includes unusual or atypical manifestations of dengue fever by involving various organ systems. There have been increasing reports ofdengue fever with unusual manifestations. Even though dengue virus is considered as a non-neurotropic virus, central nervous system complications have been reported.We are reporting a 4-year-o...

Croup is an acute inflammatory condition affecting upper airways and commonly seen in children with younger age group. Croup is most commonly due to acute viral infection and rarely because of bacterial and atypical agents. Here, we report a 3-month-old child who presented to us with classic signs and symptoms of croup and was also positive for sev...

In sickle cell disease (SCD), the clinical manifestations are due to episodes of vascular occlusion and haemolysis. Most of the children experience vaso-occlusive pain episodes by the age of six years. Renal injury in sickle cell disease referred to as sickle cell nephropathy is a frequent yet under-recognised complication. Renal papillary necrosis...

Introduction

Rare diseases (RD) of genetic origin are raising public health concern contributing to a massive economic burden in India. Establishing Specialty Centers to bridge the RD community with apex centers is felt as a need in developing countries. Hence a Comprehensive Rare Disease Care (CRDC) model was set up at the department of pediatrics under Center...

Background: India has a diverse cultural heritage, with a wealth of indigenous folk games that are culturally ingrained. Due to the ease of acquisition, low costs, and widespread acceptability, this form of games can be incorporated to facilitate and improve physical fitness among children with neurodevelopmental disabilities. Hence this study focu...

ABSTRACT Background: Dengue fever (DF) is a major health problem, 90% of dengue hemorrhagic fever (DHF) occurring in children <5 years and mortality of 2.5%. Abnormalities like metabolic acidosis, hyponatremia and hypocalcemia can occur in severe dengue especially in dengue shock patients. Alterations in calcium homeostasis, may play a role in the...

Background: Dengue fever (DF) is a major health problem, 90% of dengue hemorrhagic fever (DHF) occurring in children <5 years and mortality of 2.5%. Abnormalities like metabolic acidosis, hyponatremia and hypocalcemia can occur in severe dengue especially in dengue shock patients. Alterations in calcium homeostasis, may play a role in the pathogene...

z Tropikal ülkelerde, Deng humması ile birlikte görülen enfeksiyon sayısı ve kombinasyon çeşitliliği son yıllarda artmış oranlarda bildirilmektedir. Deng hastalığında ateş genellikle 5-7 gün arasında sürmektedir. Ateş, öngörülen süreden daha uzun sürdüğünde bir koenfeksiyon ihtimali göz önünde tutulur. Deng virüsü artritojenik bir virüs olarak kabu...

Abstract Introduction: Childhood poisoning is a frequent cause of admissions to paediatric emergency wards. Objective: To ascertain the major causative agents and mortality of childhood poisoning and to compare them with previous studies. Method: A prospective observational study was conducted in JSS University Hospital, Mysore, India from November...

Abstract Background: Universal hearing screening is implemented in many developed countries. However, neither universal screening, nor high risk screening, exists uniformly all over India. Screening of only high risk neonates can miss upto 50% of babies with hearing loss, hence a cost effective universal screening programme will be the viable optio...

Afibrinogenemia or hypofibrinogenemia is a quantitative defect in fibrinogen. It is a rare disease with estimated frequency of 1 in 1,000,000 population. Routine preoperative screening tests of coagulation disorders are insufficient to detect subtle disorders of fibrinogen. Herein, we report a child who was supposed to undergo open cardiac surgery...

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Objective: To study the prevalence of prediabetes among Jenukuruba tribal children in Mysore district Design: Community based cross sectional study. Study population: 3864 children between the age group of 2-15 years of Jenukuruba tribal community. Results: The prevalence of prediabetes was 3.3% Conclusions: lifestyle disorders like prediabetes are...

Background: The global burden of paediatric HIV and acquired immune deficiency syndrome (AIDS) remains a challenge for healthcare workers around the world, particularly in developing countries. The objective of this study is to describe the spectrum of HIV infection in children including the mode of transmission, clinical manifestations and opportu...

Previously healthy child presenting with coma, hypotension and respiratory depression is challenge to the treating clinician. The wide availability of anticonvulsants increases the risk of overdose, may be intentional or accidental. Adequate history taking is very important to clinch the diagnosis. The clinical spectrum of carbamazepine poisoning m...

p>Olanzapine is commonly used an atypical antipsychotic drug. Overdose is characterized by agitation, deep coma, blurred vision, myosis, respiratory depression and cardiovascular effects. Cardiovascular toxicity includes alterations in blood pressure, conduction disturbances like prolongation of the QRS/ QT intervals or ventricular dysrhythmias. We...

Objectives: The aim is to identify the etiology of community acquired pneumonia in children with special reference to atypical bacteria and viruses. Materials and methods: A total of 94 pneumonia children were enrolled in the study. Sixty-seven did not have an etiological diagnosis by conventional culture. These children were subjected to immuno...

Introduction: Childhood poisoning is a frequent cause of admissions to paediatric emergency wards. Objective: To ascertain the major causative agents and mortality of childhood poisoning and to compare them with previous studies. Method: A prospective observational study was conducted in JSS University Hospital, Mysore, India from November 2013 to...

p> Introduction: Scrub typhus clinical features are non-specific and resemble other tropical infections like malaria, dengue and typhoid fever. Therefore appropriate gold standard laboratory tests are necessary to confirm the diagnosis of scrub typhus. Aim of this study was to determine the incidence, clinical features, laboratory data and complica...

Introduction: Dengue infection has become a serious health problem. It is endemic in most countries of the South-East Asian region. In hyperendemic regions,DHFismorecommonin children less than 15 years of age. There have been increasing reports of DF and DHF with atypical manifestations (Expanded dengue syndrome). The spectrum of cardiac involvemen...

Objective: To study the serum Homocysteine levels in children and its relation with body mass index(BMI), lipid profile and plasma glucose. Methods: 138 children (age 5-15 y) were enrolled and categorized into normal, overweight and obese group. Blood homocysteine, lipid profile and plasma glucose were estimated. Results: Out of 138 children,...

Snake bites are important medical emergencies in clinical practice. Viper bite envenomation classically comprise of local cellulitis, coagulopathy and nephrotoxicity. Cardiovascular manifestations are rarely reported which usually include nonspecific ECG changes.We report 12 year old boy who developed shock and myocarditis following viper envenomat...

Objectives: To assess the haemoglobin levels and nutritional status of the street children in Mysuru. Method: In this prospective study, 204 street children were recruited. Clinical examination was done and haemoglobin was estimated with the cyanmethaemoglobin method. Classification of anaemia and undernutrition was done according to WHO criteria....

Objectives: Typhoid fever is one of the common infectious disease in children in tropical countries like India. Typhoid fever usually presents with prolonged fever with spikes in temperature without returning to normal base line. In children typhoid fever frequently manifests with gastrointestinal symptoms like abdominal pain, vomiting, constipatio...

Pseudoachondroplasia is a rare type of short-limbed skeletal dysplasia. It is usually found as an autosomal dominant inheritable disorder. Children are normal at birth and they present developmental delay in walking by the age of 2, an abnormal waddling gait or deformities of the lower limb. Diagnosis is based on characteristic clinical and radiolo...

Vitamin B12 deficiency may be due to congenital or acquired causes that involve reduced enteric gastrointestinal absorption of the vitamin. An exclusively vegetarian diet may be the source of vitamin B12 deficiency, as in the current case. Among the various problems secondary to vitamin B12 deficiency there is also a hyperpigmentation affecting bot...

Introduction: Though pregnant mothers are at risk of

p>Cutaneous polyarteritis nodosa is a vasculitis with characteristic manifestations like tender subcutaneous nodules, livedo reticularis, cutaneous ulcers and necrosis. Diagnosis requires histopathologic evidence of necrotizing inflammation of the medium and small arteries. We report a six year old girl with cutaneous PAN with gangenous changes of...

Dengue infection can have spectrum of manifestations, often with an unpredictable clinical progression and outcome. There have been increasing reports of atypical manifestations. Abdominal pain or tenderness and persistent vomiting (warning signs) are present in the majority of cases with severe dengue prior to clinical deterioration. We report a 1...

One of the most common causes of death in influenza patients is secondary bacterial pneumonia and the most common pathogens involved are Streptococcus pneumoniae, Staphylococcus aureus, and Haemophilus influenza. To diagnose co infection with bacteria in a H1N1 case can be difficult but should be strongly suspected in a child who present with influ...

The clinical features of commonly seen illnesses, such as malaria, enteric fever, dengue, chikungunya, scrub typhus, and leptospirosis mimic each other. Sometimes, concurrent infections within a patient make both diagnosis and subsequent management challenging. Concurrent infections can result in the overlapping of clinical features, posing a diagn...

Introduction: Though pregnant mothers are at risk of

Introduction: Though pregnant mothers are at risk of developing Vitamin D deficiency, their level differs among

Introduction: Dengue fever is the world’s most important hemorrhagic fever, especially in America, Pacific islands, and Asia. In countries like ours where viral hepatitis, malaria, enteric fever are common; it represents a challenge to identify the etiology of acute fever complicated by hepatitis. Case Presentation: We report a case of acute hepati...

Acute abdominal pain pose many diagnostic and management problems in children. There is need for a thorough clinical examination and proper guidance by clinician to the sonologist for the diagnosis. We report a child with acute abdominal pain due to abdominal wall abscess misdiagnosed because of lack of clinical acumen and improper use of ultrasono...

Introduction: Poor nutritional status of tribal children observed in different parts of India, calls for introspection into various factors influencing it, in order to seek remedial measures. Objectives: To assess the prevalence of malnutrition among under-five children of Kadukuruba tribe and socio-demographic factors associated with it. Mater...

Salivary gland tumors are rare in children and, when they do arise, they mainly affect the major salivary glands. Minor salivary gland tumors are rare in children and are responsible for less than 10% of the cases. Pleomorphic adenoma is the most common tumor of the salivary glands. The most common sites of pleomorphic adenoma of the minor salivary...

Dengue fever (DF) is an important public health problem in developing countries like India, with a high morbidity and mortality. The clinical spectrum of dengue is highly variable, ranging from a mild flu-like syndrome to severe disease, with shock and hemorrhage. Concurrent septicemia in patients with dengue fever is rare and only few cases have b...