Question of the Week

Question

Question :

Posted On : 29 Jul 2018

3 month old , presented with bilateral ear discharge , while on antibiotics developed dyspnea requiring ventilation , then developed skin rashes , hepatosplenomegaly ,
difficulty in weaning off ventilator , sibling known case of Glanzmans thrombasthenia
Ig E 500 , platelet count 14,000 , CBC normal

Expert Answer :

Answer Discussion :

M

Maazza Dafa Alla

0

wiskott aldrich

6 years ago

D

dassienoubibo jeanmichel

0

hereditary immune defect

6 years ago

R

Robert Kimutai

0

wiskott aldrich

6 years ago

J

John O'Brien

0

wiskott-aldrich syndrome

6 years ago

D

duaa

0

histiocytosis

6 years ago

Answer 1

This child has a severe disease and the low platelet is not because of Glanzmann`s thrombasthenia. What is the MPV {Mean Platelet Volume}. So there has to be another cause to explain thrombocytopenia. What is the coagulation profile` What is the LFT` is there work up for Hematophagic Lymphohistiocytosis being done_? like Serum ferritin, Triglycerides, Coag profile, LFT. Is a BMA done in this pt` what is the culture report of ear discharge` What is the Blood CUlture report` are there lung lesions can we do BAL to isolate an organism_? What is the ALC and ANC {Absolute Lymphocyte count and Absolute Neutrophil count. The IgE levels are not impressive. Need more onformation

Question of the Week

Home

Partner Sites