Dear pediatrics on call, i have a child with the following symptomatology- fever past 7 days, dysentry and now melena past 4 days, altered sensorium, thrombocytopenia, mild azotemia, grossly deranged LFT'S, peripheral smear could not be sent pre BT, normal CSF examination and electrolytes. He has a noraml urine output so far. PT PTTK MILDLY DERNAGED. Till now has received 2 bt's , one PRP,IV ANTIBIOTICS. Could it be TTP( throbotic thrombocytopenic purpura) But the liver derangement does'nt explain it. Please give me few alternate diagnoses?
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