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I have worked in a faculty position in a teaching hospital for more than 20 years and have more than 100 peer-reviewed, indexed publications in national and international journals. I have guided post-graduate students for their thesis since 1993.I have also trained in doing Cochrane reviews at the South-east Asia Cochrane Centre at Vellore, India.I only do medical and health-related projects since this is my area of expertise. You may additionally check my publications and profile at the following link: [login to view URL]
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Professor of Pediatrics

Mar 2012

Mar 2012–present Professor & Head, Department of Pediatrics ESI Post Graduate Institute of Medical Sciences and Research, MGM Hospital, Parel, Mumbai · Pediatrics India · Mumbai Jul 1999– Feb 2012 Professor Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College · Department of Pediatrics India · Mumbai In Charge, Pediatric Intensive Care Unit and Division of Pediatric Nephrology Aug 1993– Jul 1999 Professor (Associate) Lokmanya Tilak Municipal General Hospi



1985 - 1987 (2 years)

D.C.H. (Diploma in Child Health)

1983 - 1985 (2 years)


1974 - 1981 (7 years)


Clinical Manifestations, Treatment, and Outcome of Hospitalized Patients with Plasmodium vivax Malaria in Two Indian States: A Retrospective Study

This was a retrospective study done on 110 patients hospitalized with P. vivax malaria in three medical college hospitals, one in the union territory of Chandigarh and the other two in Gujarat, that is, Ahmedabad and Surat. The clinical presentation, treatment, and outcome were recorded. As per WHO criteria for severity, 19 of 110 patients had severe disease-six patients had clinical jaundice with hepatic dysfunction, three patients had severe anemia, three had spontaneous bleeding, two had acute res

Ofloxacin-induced hallucinations

Drug-induced hallucinations are not uncommon, and may be misdiagnosed as psychiatric illness leading to unnecessary treatment with antipsychotics. If a temporal association of use of a drug having the potential to cause hallucinations is present, mere withdrawal of the drug causes complete improvement in the symptoms. There are reports of various untoward central nervous system adverse events following administration of fluoroquinolones, including delirium, hallucinations and psychosis, even after a s

Febrile myoclonus: a missed clinical diagnosis

Myoclonic jerks presenting with fever have only rarely been reported and have often been misdiagnosed as febrile seizures. The presentation may be dramatic enough to provoke unnecessary investigation and treatment. Considering the benign nature of this condition, it is important that the condition is recognized by the physician so that hospitalisation and diagnostic procedures such as lumbar puncture and electroencephalogram are prevented. The authors report three cases of febrile myoclonus and review

Pott's Spine with Bilateral Psoas Abscesses

A high degree of suspicion and appropriate imaging studies are required for the early diagnosis of Pott's spine. We describe a 4-year-old boy with Pott's disease of the lumbar spine with bilateral psoas abscesses. The child responded to conservative treatment with antituberculous treatment and ultrasonographically guided percutaneous drainage of the abscesses

A randomized controlled trial of intranasal-midazolam versus intravenous-diazepam for acute childhood seizures

The objective of this study is to compare the safety and efficacy of midazolam given intranasally with diazepam given intravenously in the treatment of acute childhood seizures. A randomized controlled study was conducted in a pediatric emergency department in a tertiary general hospital. Fifty children aged from 1 month to 12 years presenting with acute seizures of at least 10 min duration were enrolled during a 12 month period. Intranasal midazolam (0.2 mg/kg) and intravenous diazepam (0.3 mg/kg) we

Distal renal tubular acidosis in a child with HIV infection

Renal tubular acidosis (RTA) is not uncommon in HIV-infected children with advanced disease, and has been described mainly due to nephrotoxic anti-retroviral therapy and in association with prophylaxis or treatment of Pneumocystis carinii pneumonia with co-trimoxazole. We describe an 8-year-old boy, newly diagnosed to have HIV infection, who presented with distal RTA. There were no features of chronic RTA in the form of rickets or nephrocalcinosis, making an inherited form unlikely

Cerebral salt wasting following tuberculous meningoencephalitis in an infant.

In patients with central nervous system disease, life-threatening hyponatremia can result from either the syndrome of inappropriate secretion of antidiuretic hormone or cerebral salt wasting. Clinical manifestations of the two conditions may be similar, but their pathogeneses and management protocols are different. Cerebral salt wasting syndrome is a disorder in which excessive natriuresis and hyponatremia occurs in patients with intracranial diseases. We report a 6-month-old girl with CSWS associated

Nasopharyngeal swabs of school children, useful in rapid assessment of community antimicrobial resistance patterns in Streptococcus pneumoniae and Haemophilus influenzae.

OBJECTIVES: The present study evaluates the feasibility of rapid surveillance of community antimicrobial resistance (AMR) patterns of Streptococcus pneumoniae and Haemophilus influenzae in India using nasopharyngeal swabs (NPSs) of school children. It compares the AMR data obtained with that of invasive and nasopharyngeal (NP) isolates studied previously. No one has done such surveillance since our study so we decided to publish and more clearly demonstrate the feasibility of the methodology we did.\

Hypernatremic dehydration due to lactation failure in an exclusively breastfed neonate

We report a 13-day-old exclusively breastfed neonate, admitted with a history of fever, poor feeding, lethargy and decreased urine output. The mother had history of lactation failure. The neonate had severe hypernatremia, acute renal failure and metabolic acidosis. Renal ultrasound was normal, but the sodium level in mother's milk was 96 mEq/L (normal 7 ± 2 mEq/L). The neonate required peritoneal dialysis on the second day of admission. The biochemical investigations gradually returned to normal a

Unusual presentation of Takayasu's arteritis as posterior reversible encephalopathy syndrome

Takayasu's arteritis is a chronic, idiopathic, inflammatory disease primarily affecting aorta and its branches. It mainly affects young females in the age group of 10-30 years. Various atypical presentations of Takayasu's arteritis have been described in children. These atypical presentations can cause delayed diagnosis resulting in increased morbidity and mortality. Posterior reversible encephalopathy syndrome (PRES) is a neuroradiologic condition associated with headache, seizures, altered sensori

Enalapril induced severe hyponatremia and altered sensorium in a child

Enalapril is an angiotensin converting enzyme inhibitor widely used in children for treatment of hypertension and congestive cardiac failure. We report a 5-year-old boy who developed severe hyponatremia and altered sensorium on enalapril therapy. The serum sodium gradually became normal within 3 days. The patient's sensorium improved significantly on correction of hyponatremia. Through this case, we highlight the importance of monitoring serum sodium in patients on enalapril therapy.


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