Question of the Week

Question :

Posted On : 16 Sep 2008

We have a child with hepatospleenomegaly {liver span-12 cms,spleen-5 cms} with no identifiable cause. All infective and metabolic investigations are negative. There is no fever. As such the child had only come for parietal wall abscess and this was only incidental finding. Child has bilateral cervical lymphnodes, mild ascites. Child is on antibiotics and abscess drained. Child is asymptommatic. How do I proceed?

Expert Answer :

No expert answer available.

Answer Discussion :

Faizan Bhoira

child should b investigated 4 lympho reticular malignancy and primary immunodeficiency disease.

16 years ago

issam albin

doing peripheral blood smear and bone marrow examination to r,o leukemia

16 years ago

ziadismiel qas

look for imune deficiency diseases mostly do nitro blue tetrazolium test for chronic granulomatous disease

16 years ago

Taghrid

Do CBC and CT chest and abdomen, Did you check EBV antibody titer _?

16 years ago

Chinmaykumar Behera

CBC,P.S.comment,F.N.A.C of lymph node,retic count should be the next line of investigation.if any evidence of hemolysis go 4 HB ELECTROPHORESIS.if nothing abnormal then prceed 4 biopsy of lymph node,spleen,liver ,ascitic fluid analysis to exclude malignancy.chest x ray is mandatory to look 4 mediastinal massalong with U.S.G of abdomen to look 4lymph node and other organs.

16 years ago

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