rickettial fever on rise

of late we are seeing more and more children with rickettial fever,these pts; are responding very well to doxycycline.early diagnosis and treatment is very imp; for fast recovery without complications.

A rare pt; with chylous ascites diagnosed

a 4 yr old male child presented with distention of abdomen since 1 month,on investigations it turned out to be chylous ascites,he is started with AKT,low fat high protein diet and mct.the details of the investigations and management can be shared on request.