Fever with petechiae

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Fever with petechiae

Author: Pediatric Oncall

Question
A 2 years old boy presented with fever for 1 month. He was shown to a doctor who treated him with artesunate, Pyrimethamine – Sulphadoxine and blood transfusion following which fever subsided. He again developed fever since past 4 days with pallor and ecchymoses over the left thigh. On examination, he has hepatomegaly and petechial rash. Other systems are normal.

What is the possible diagnosis_?

Answer Discussion :

G

GERSIMO SAMPAIO

0

HENOCH-SCHONLEIN

10 years ago

J

JAYANT

0

Leptospirosis
Rule out leukemia

10 years ago

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Answer 1

There are 2 cells lines involved: leukocytes and platelets. Thus, one should consider either aplastic anemia or leukemia. Hepatomegaly is unusual with aplastic anemia. This child was found to have leukemia.

Fever with petechiae

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