Posted On :
10 Feb 2002
12yr. male proved B-0 Thalassemia admitted for mod to severe abd.pain,fever of 102F and mild jaundice.Sonogram of Abd. revealed biliary sludge ,enlarged gallbladder and ofcourse significant splenohepatomegaly.Since Hb was 5G he received packed cell Transfusion alng with cefotaxime,amicacin and metronidazole.After the first Bl.Tr. he developed significant jaundice with Bil.of 30mg also cola coloured urine,BUN is normal.Considered now to have severe intravasc. hemolysis along with possible cholangitis. Request for comments.
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