cold,Swollen lymph nodes with splenomegaly

Discussion in 'Case Studies' started by ishu90, Jul 10, 2013.

  1. ishu90

    ishu90 Young Member

    Joined:
    Jul 3, 2013
    Messages:
    8
    Likes Received:
    0
    Trophy Points:
    20
    Practicing medicine in:
    India

    A 5 year old orphan child presented with pharyngitis,cold,with cervical lymphadenopathy.On abdominal examination he was found to have hepatosplenomegaly.His vaccination history is not clear but has a history of 1 unit blood transfusion after a car accident 3 months ago. Initially infectious mononucleosis is suspected and his blood is sent to the lab. Report suggests atypical lymphocytes but negative heterophile antibodies. His lymph nodes are taken for biopsy and they show a cytoplasmic inclusion body with a typical owl's eye appearance.
    What is your diagnosis? How will you manage the patient?(Y)(Y)
     

    Add Reply
    Last edited: Jul 12, 2013

  2. fikri

    fikri Active member

    Joined:
    Dec 24, 2013
    Messages:
    20
    Likes Received:
    0
    Trophy Points:
    40
    Gender:
    Male
    Practicing medicine in:
    Indonesia
    hodgkin's lymphoma
     

  3. ishu90

    ishu90 Young Member

    Joined:
    Jul 3, 2013
    Messages:
    8
    Likes Received:
    0
    Trophy Points:
    20
    Practicing medicine in:
    India
    well,cytoplasmic inclusion bodies and a mononucleosis like presentation with atypical lymphocytes and heterophile negative antibodies suggest toxoplasmosis or CMV as the most common causative organisms...since he has history of blood transfusion a yr back...CMV infection seems mist likely.
     

  4. Kataryna

    Kataryna Active member

    Joined:
    Dec 19, 2013
    Messages:
    73
    Likes Received:
    2
    Trophy Points:
    95
    Gender:
    Female
    Practicing medicine in:
    Romania
    CMV infection
     

Share This Page

<