Epistosis with Fever and Convulsion

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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Question
To Dr. Sarala Rajajee, Kanchi Kamarkoti Child Trust Hospital, Respected Madam, This patient initially came with fever for three days ,he had history of Epistosis and the patient was admitted. On admission, SpO, Lo, NO glands blood count 21,800 (N65 L31%, platelet count 0.08%. Patient improved with platelet transfusion and IV antibiotic, Monocef, (500mg) IV BD (20.11.5005). The patient present with discharge align="justify" blood orally and with stool. The Patient again had fever and convulsion on 08.12.2005, on admitting later malaria vivax was +ve. Blood count was within normal limit, PBS -> no abnormal cell. Platelet count 69,000. This time platelet improved without any transfusion and antimalarial drug was given and the fever subsided within two days (80,000 platelet) and platelet count improved to 2,74,000. Again on the 4th align="justify" January the platelet count came down to 1,60,000. Kindly inform me about the subsequent course align="justify" treatment.
Answer
The query cannot be directed to the person you have addressed. Pediatric Oncall replies: Since the platelet count is still in the normal range and the child is asymptomatic, one may wait and followup. If the platelet count decreases again, she needs to be evaluated for ITP and leukemia. Also confirm the platelet adequacy on peripheral smear. Back to All Questions

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