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| SPECIALIST ANSWERS
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Question |
50 days old child admitted earlier at 7 days age with history of loss of weight from 2.3 to 1.7 kg referred from peripheral centre after few days of hospital tt.during first admission diagnosed as partially treated suspected sepsis,documented thrombocytopenia presented as rectal bleed treatd with platelet concentrate.recovered start acceptin reast feed.on second admission documented to have repeat low plt 50,000/neutropenia 900/leucopenia2700/crp positive/metabolic acidosis with anion gap 17 /corrected by bicarbonate' what are likely possibility
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Answer |
Sicne the child has neutropenia with thrombocytoepenia, failure to thrive and high CRP, it would be suggestive of sepsis. One should also rule out pyogenic meningitis and infection elsewhere. Do all cultures and then further management would be required.
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