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Question

i have a 5 yeor old male patient who presented with 49 days of fever and pallor. He was admitted twice for which only a complete blood count was done which revealed pancytopenia.Packed RBC transfusions were given on these 2 admissions. On Physical examination he has slight hepatosplenomegaly. The Mantoux test we did at our hospital turned out to be positive. His CXR revealed infiltrates and paratracheal lymphadenopathies. What do you think is the closest diagnosis of this patient and how do i approach it.

Answer

Rule out malignancy, histiocytosis and aplastic anemia secondary to infection such as HIV.
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