മാഷ്

Four year old boy bought with fever sore throat for the last four days. He was on oral antibiotics. As local doctor noticed this patch in the throat he was referred here Second child, older one is 7 years. Both of them un  immunized. No vaccine taken so far. Many kids in the neighborhood also At the time of admission child was sick, Drooling of saliva and cervical lymph node enlarged odema neck plus In view of unimmunised child developing this typical patch in the throat provisional diagnosis of diphtheria was made. Took a throat swab for gram stain, and culture and patient was put on Crystalline penicillin  Diphtheria antitoxin 80000 unit was planned. While administration rashes and BP fall occurred.Under cover of Adrenalin and supportive measures could give 100000 units of antitoxin. Differential diagnosis  To rule out other possibilities like membranous tonsillitis and Infectious mononucleosis investigations were taken. Peripheral smear taken showed normal distribut