A 15-month-old girl with fever and pancytopenia

A 15 month-old girl was admitted after a couple of months' history of illness with remittent fever, increasing pallor and a swollen abdomen. On admission she was highly febrile, with palpably enlarged liver and spleen. Blood tests revealed pancytopenia, a high CRP level and a high serum ferriti...

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Published inTidsskrift for den Norske Lægeforening Vol. 131; no. 24; pp. 2482 - 2486
Main Authors Skram, Marius Kurås, Bjering, Sidsel, Hermansen, Nils Olav, Dini, Leigh, Hellebostad, Marit
Format Journal Article
LanguageEnglish
Norwegian
Published Norway 13.12.2011
Subjects
Amphotericin B - therapeutic use
Antiprotozoal Agents - therapeutic use
Bone Marrow - pathology
Diagnosis, Differential
Female
Fever - diagnosis
Fever - etiology
Humans
Infant
Insect Bites and Stings - complications
Leishmaniasis, Visceral - diagnosis
Leishmaniasis, Visceral - etiology
Leishmaniasis, Visceral - therapy
Lymphohistiocytosis, Hemophagocytic - diagnosis
Lymphohistiocytosis, Hemophagocytic - etiology
Lymphohistiocytosis, Hemophagocytic - therapy
Mediterranean Region
Pancytopenia - diagnosis
Pancytopenia - etiology
Travel
Mediterranean Region
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Summary:A 15 month-old girl was admitted after a couple of months' history of illness with remittent fever, increasing pallor and a swollen abdomen. On admission she was highly febrile, with palpably enlarged liver and spleen. Blood tests revealed pancytopenia, a high CRP level and a high serum ferritin level. We describe the diagnostic evaluation, interpretation and treatment.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0807-7096
DOI:10.4045/tidsskr.11.0387