Lipoma arborescens is a very uncommon condition of the synovial joints and bursae. Although the etiology is unknown, lipoma arborescens is characterized by hyperplasia of mature fat tissue in the subsynovial layer. The knee joint, especially the suprapatellar pouch, is the most frequent site of involvement. Cases are occasionally reported in the shoulder, elbow, hip and wrist. To the best of authors' knowledge no case of lipoma arborescens has been reported in children in Indian subcontinent with multiple joint involvement and uveitis.

Scrub typhus is the most common rickettsial infection in India. A neonate with suspected late-onset sepsis/late hemorrhagic disease of newborn and scrotal cellulitis was finally diagnosed as scrub typhus. The samples of blood and urine were sent and azithromycin was started empirically awaiting the reports. The baby improved with resolution of fever and increased oral acceptance and thrombocytopenia resolved. In any newborn presenting with fever, eschar, and positive family history, besides other common diagnoses like sepsis, scrub typhus should also be suspected as a differential diagnosis, especially in endemic countries. Prompt diagnosis and early initiation of treatment will reduce mortality and morbidity of newborns with scrub typhus.

Background: The present study was designed to evaluate the clinical spectrum, bacteriological profile, antibiotic sensitivity pattern and mortality due to neonatal septicemia in neonates admitted in neonatal units attached to the SMS Medical College, Jaipur.Methods: In born and out born babies of postnatal age up to 28 days who were bacteriological proven cases of septicemia were subjected to history, clinical examination and laboratory evaluation and data were analyzed statistically.Results: Out of 150 cases 67.33% neonates were preterm and 77.33% were low birth weight neonates. Gram negative organisms were most common cause of septicemia (66.6%), Both the Gram negative and Gram positive organisms were sensitive to piperacillin-tazobactam, linezolid, fosfomycin, teicoplanin, polymyxin B, colistin, ofloxacin. Both the Gram negative and Gram positive organisms were resistant against cephalosporins, ampicillin, Amoxyclav, cotrimoxazole. Gram negative isolates were most sensitive to Polymyxin B (70%) and had the highest resistance to cefepime (36%). Gram-positive organisms were most sensitive to vancomycin (84%) and linezolid (82%). Highest resistance was noted from Amoxyclav (52%).Conclusions: Preterm (<37 week) and low birth weight (<2500gm) neonates are considered as major susceptible causes of neonatal sepsis. Proper hygiene and hand washing, early detection of sepsis and judicial use of antibiotics to prevent multidrug resistance is needful in our setup.

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