Question of the Week

Question :
Posted On : 26 Nov 2020
A 12 years old boy came from an endemic area of malaria of Bihar with a history of two episodes of malaria in the past treated by chloroquine. He just came for routine examination only, on examination he is having just papable spleen only no lymphadenopathy, no hepatomegaly. His CBC, GBP, and PS for MP are normal. What we should do for his just palpable spleen, he is otherwise asymptomatic?
5
Expert Answer :
If the child is normal at present, his Hb is also normal then we do not need to do anything. Follow him up. This spleen can be due to an immune reaction to malaria, which may gradually become normal.
Answer Discussion :
F
Faisal Balla
no need for intervention
10 months ago
M
Mido Zido
follow up
10 months ago
P
pankaj bohra
Primaquine14 days ( r/o G6PD).
10 months ago
D
Dr prakash nagar
As he is from an endemic area with a history of Malaria twice, he might be a carrier and need to give artemisinin-based combination therapy (ACT).
10 months ago
R
Ravi Goyal
primaquine for 14 days ( after ruling out G-6-PD deficiency), anti moquito measures.
10 months ago




Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0