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Q. a 5 yrs old boy brought to my emergency with severe anaemia and altered sesorium FOR ONE DAY FEVER FOR 2 DAYS..VOMITTING 2-3 EPISODE..on examination he was stuporose,plantar bilatreral extensor.neck stiffness and kenig absent. liver 3 finger firm.spleen 3 finger firm. investigation-Hb-2gm percent,TLC -29000,POLY 90 percent..MP NEGATIVE,GBP-NORMOCYTIC HYPOCHROMIC ANAMIA....PLATELET..1.12 LAKHS.THERE IS NO HISTORY OF CONVULSION.WHAT COULD BE DIGNOSIS


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