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Question

a case of 16,month, old presented by fever which respond to antipyretics after 2 days generalised lymphadenopathy appear,we did monospot test which was negative and differential leucocytic count was neutrophils 15%,lymphocytes 80%,monocytes 4%,eosinophils 1%basophils 0%,CBC was Hb 11.0,haematocrit 33.8, RBCs 4.3, MCV 79,MCH 26,MCHC 33,platelets 130,total WBCs 5.4,there is mild splenomegaly what is the diagnosis?

Answer

This child has:
Fever
Neutropenia (ANC= 810)
Thrombocytopenia
Splenomegaly
Generalised lympadeopathy.

D/D would be :
Infectious mononucleosis
Enteric fever
Malaria
Dengue
HIV
Malignancy (Last if the child does not respond and the counts do not normalise)
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