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7 year old with high fever, enlarged tonsil. Done blood transfusions. Given medicine. What should be done to cure?

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My son
Case History of Master Dristanta XXXXXXX 7yrs.

26th November 2011::

Fever interval was 4 to 5 Hrs Upto 2nd December 2011.(Fever goes upto 103 degree)
After 2/12/2011 fever intervala 10 Hrs

On 3/12/2011 fever interval 12 to 13 Hrs.

4/12/2011 and 5/12/2011 no fever

on 6/12/2011 F/N fever temperature 102 degree farenheit.


Medicine applied ::

Doxcef CV 100 DT
Calpol 250 syp
Eldriz Syp

Testing done on::
Tonsil was enlarged but now OK

** From 3/12/2011 feels cold at night, needs multiple blankets for sometimes.
On 8/12/11 admitted to nursing home for blood transmission at 1500hrs blood transmission started and finished at 0600hrs on 9/12/11.once again another 300ml blood transmission started at 0900hrs and finished at 1800hrs.

300 ml one unit blood transmitted on 8/12/11
300 ml one unit blood transmitted on 10/12/11
Now Dristanta seems to be alright & diet ok.
QUESTION 1.Is it due to BTT OR FOR Doxcef CV 100 DT?
2. Further what should be my next step?
Report attached
Rgds
Dipak
Posted Sat, 21 Apr 2012 in Blood Cancer(Leukemia)
Follow-up: 7 year old with high fever, enlarged tonsil. Done blood transfusions. Given medicine. What should be done to cure? 13 minutes later

additional information
My (Father of Dristanta) 43 yrs old tested hemoglobin varient analysis and report received today as suggestive of BETA THALASSEMIA TRAIT.upto my 40yrs of of age i was never sick.
 
 
Answered by Dr. Indranil Ghosh 24 hours later
Hi,

Thanks for the query.

I have gone through your query and the attached reports.

At this point, the cause of fever is not very clear. It might be due to throat infection which has now improved with antibiotics.

Upon reviewing the blood reports, I feel his anemia has two components-
1. Beta thalassemia trait - as seen in High Performance Liquid Chromatography (HPLC) report, a not so high Red blood cell Distrubution Width (RDW), a higher than normal Red Blood Cell count and you being a carrier.
2. Iron deficiency - as seen in serum iron studies and a lower than expected reticulocyte count. RDW is also expected to be low in thalassemia trait (in him it is slightly high).

In addition, thalassemia trait usually does not require transfusions.

Hence I feel iron deficiency probably exacerbated the anemia in him. He may do well with some iron supplements. Discuss with your treating doctor to continue iron supplements. And we need to follow him up with regular Hemoglobin levels only.

Hope I have been helpful to you. If you have any doubts regarding my suggestions, please feel free to reply to me; I will be available to clarify them.

Wish your son a speedy recovery.

Regards
Above answer was peer-reviewed by
 
Follow-up: 7 year old with high fever, enlarged tonsil. Done blood transfusions. Given medicine. What should be done to cure? 13 hours later
Hi
Thanks for the reply.
As you have told iron deficiency probably exacerbated the anemia in him. Should I start oral iron therapy? should I continue with folic acid (folvite)? Any more componenet of iron test is required or only hb % will do.
REGARDS

Dipak XXXXXXX
0000
 
 
Answered by Dr. Indranil Ghosh 21 minutes later
Hi,
Thanks for reverting back.

Yes, I think you should discuss with your paediatrician regarding starting oral iron and folic acid supplements.

As all required tests have been done now, for follow up, getting a haemoglobin (g/dL) [Hb %] will suffice.

I hope I have answered your query. Please accept my answer if you have no further follow up queries.

Regards.
Above answer was peer-reviewed by
 
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