Question of the Week

Question :
Posted On : 27 Jan 2005
An infant presenting with Acute upper respiratory tract infection and accompanying vomiting and lethargy. Upper respiratory symptoms subsided but vomiting persisted. On examination, the baby was found afebrile with hepatosplenomegaly, vaginal candidiasis. On investigations, the child was found to have ketonuria and glycosuria with euglycemia. Blood picture showed microcytic hypochromic anemia with thrombocytosis and lymphocytosis. Serum uric acid was normal but triglycerides were increased with normal cholesterol. ESR was 6 mm,in first hour. What are the differential diagnosis for this kind of picture?
3
Expert Answer :
No expert answer available.
Answer Discussion :
D
dr ashok
Profile
fungal sepsis
20 years ago
P
pediatriconcall
Profile
Rule out diabetes mellitus especially since the child was vomiting, lethargic with ketonuria and glycosuria {diabetic ketoacidosis}. With vaginal candidiasis, polyendocrinopathy with muco-cutaneous candidiasis seems the likely diagnosis.
20 years ago
D
Dr.Chandramohan
Profile
Gaucher's disease
20 years ago




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