മാഷ്

6 year old boy. 1st child of non consanguineous marriage , developmentally normal unimmunised with no significant past history now presented with c/o low grade fever since 6 days associated with throat pain on day 1 of illness. On day 2,was taken to hospital and was treated as Out patient  basis. On day 3, developed 5-6 episodes of vomiting. On day 4,mother noticed swelling side of neck , which was gradually increasing in size So he was hospitalised on same day and started with Iv Ceftriaxone. On day 5, fever decreased but vomiting persisted. Day 6, swelling increased over right side and minimal swelling over left side and was referred to here i/v/o suspecting diphtheria. At admission, child was conscious, sick looking, Pulse rate 90/mt, good volume,occasional irregularity. Respiratory rate 24/mt, afebrile, swelling side of neck below mandible and ears both sides. tonsillitis with greyish white membrane in tonsil and posterior pharyngeal wall with bleeding spots and had