Menu
Disease
A-Z
Health Topics
Developmental Pediatrics
General Pediatrics
Genetics
Immunodeficiencies
Infectious Diseases
Laboratory Medicine
Neonatology
Nutrition
Pediatric Cardiology
Pediatric Dermatology
View all Topics
Featured Articles
Hypospadias
Circumcision
Urticaria (hives) and angioedema
Penile hygiene
Anaphylaxis
Diabetic ketoacidosis
Kids Corner
Health and Knowledge with fun.
Drugs &
Calculators
Medical Calculators
Drug Calculators
Genetic Calculators
Growth Calculators
View all Calcualtors
Drug Index
ACE inhibitor
Alkylating agents
Allergies
View all Drugs
Poisoning Center
Aluminum phosphide
Anti-histaminics
Antidepressants
View all Drugs
Medical Eqipments
Monitors
Pumps
Incubators
View all Equipments
Diagnostic Aid
Get your diffrential
diagnosis.
Consult
& Posts
Ask a Doctor
Diagnostic Dilemma
Question of the Week
Pediatric Blogs
Spot Diagnosis
Grand Rounds
Pedi Poll
Pediatric
Journal
Current Issue
All Issues
Advance Access
About the Journal
Submit Article
Books
& Apps
Book Store
Pediatric Oncall
Medical Calculators
Vaccine Reminder
Pediatric Oncall Journal
Drug Center
Parenting
CME &
Videos
Upcoming Conferences
Conference Abstracts
MCQs
Videos
Vaccine
Reminder
Sign In
Diagnostic Dilemma List
Fever with thrombocytopenia
Stiffness with stridor
Short stature with rickets
Hypercalcemia
Dysmorphism
Fever with desquamation
Diagnostic Dilemma
Home
|
All Discussions
|
Submit Dilemma
Fever with thrombocytopenia
Author:
Pediatric Oncall
Question
A 4-year-old boy born of non-consanguineous marriage presented with fever for 6 days and decreased urine output. There was difficulty in walking due to a wide-based gait for 6 days and pain in the left hip. He has had a right eye paralytic squint since birth. He was a full-term delivery at home and his mother had a fever in the 8th month of pregnancy. He had convulsion at 6 months and 3½ years of age with fever. EEG done was normal. MRI was suggestive of cortical dysplasia and hypoplastic corpus callosum with mild Dandy-Walker Variant. Milestones were normal and the child is not on any anticonvulsants. On examination, there was pallor, petechiae on the left hand, right convergent squint, wide-based gait with normal deep tendon reflexes. There was no neck stiffness or hepatosplenomegaly. Other systems were normal. IQ test = 95. Investigations showed:
• Hemoglobin = 8.2 gm/dl
• WBC count = 11,100/cumm (20% polymorphs, 80% lymphocytes)
• Platelet count = 39,000/cumm
• ESR = 60 mm Hg
• SGPT = 15 IU/L
• Renal function tests, serum electrolytes
• Urine = Normal
• Prothrombin Time, Partial thromboplastin time = Normal
• Dengue ELISA, Leptospira tridot = Negative
• Peripheral smear = Atypical lymphocytes with decreased platelet
• X-Ray lower limbs and ultrasound of hip = Normal
• CPK = 24 IU/L
• Blood culture = Negative
• HIV = Negative
He gradually showed improving platelet count and decreasing neutrophil count. His gait improved gradually. However, he continued to have neutropenia, and subsequently, even the hemoglobin and platelet count again dropped over a period of 15 days.
• CMV, EBV = Negative
• Bone marrow aspirate = Dilute marrow
What is the diagnosis?
What is the diagnosis?
Answer Discussion :
No answer discussion available.
View More Comments
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
X
Sign In
Disease A-Z
Health Topics
Developmental Pediatrics
General Pediatrics
Genetics
Immunodeficiencies
Infectious Diseases
Laboratory Medicine
Neonatology
Nutrition
Pediatric Cardiology
Pediatric Dermatology
View all topics
Featured Articles
Hypospadias
Circumcision
Urticaria (hives) and angioedema
Penile hygiene
Anaphylaxis
Diabetic ketoacidosis
Kids Corner
Drugs & Calculators
Medical Calculators
Drug Calculators
Genetic Calculators
Growth Calculators
View all Calculators
Drug Index
ACE inhibitor
Alkylating agents
Allergies
View all Drugs
Poisoning Center
Aluminum phosphide
Anti-histaminics
Antidepressants
View all Drugs
Medical Eqipments
Monitors
Pumps
Incubators
View all Eqipments
Diagnostic Aid
Consult & Posts
Ask a Doctor
Diagnostic Dilemma
Question of the Week
Pediatric Blogs
Spot Diagnosis
Grand Rounds
Pedi Poll
Pediatric Oncall Journal
Current Issue
All Issues
Advance Access
About the Journal
Submit Article
Books & Apps
Book Store
Pediatric Oncall
Medical Calculators
Vaccine Reminder
Pediatric Oncall Journal
Drug Center
Parenting
CME & Videos
Upcoming Conferences
Conference Abstracts
MCQs
Videos
Vaccine Reminder
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0