Question: Our daughter in a marine stationed in Okinawa Japan. She has been in the hospital a week. We have only been able to talk to her Dr once and although we are authorized to receive her medical information, due to distance/time, we are not getting information - we are located in XXXXXXX This is what we know:

- her lymphnodes are enlarged
-her spleen is enlarged and "half of it is dead"
-her liver is enlarged
-she has had lots of blood taken, so far tests are showing "negative"
-they are now sending cultures to the States
We were originally told that there are 3 options on the table:
1) Bacterial infection has caused her lymphnodes and spleen to enlarge
2) Viral infection
3) Lymphoma or Leukemia
Can you please give us a clearer view of what they MAY be looking for and what causes there could be? (She has not been injured)

She has always been very healthy and strong. This came on very suddenly as "stomach pain" and nausea. She went to the ER there are base 3 times and was sent home with diagnosis of "Gastroenteritis" and Advil. The pain became so intense that finally, they admitted her and found that her lymph nodes, spleen and liver were/are all enlarged and her white blood count showed that while the number was in range, the cells themselves were/are enlarged. Over the weekend she began vomiting and yesterday they got that stopped. As of last night (Tuesday day in Japan), the Doctor told her that her spleen is 50% necrotic and that the blood results showed "no infection". Apparently they are sending her by ambulance to a civilian hospital on the island to put a scope down her throat to look at her heart??? We are desperately trying to find funding to get there, but until we can actually get there, we just need more information.I forgot to say that she is currently 21, non smoker, non drinker. No health problems at all. I also forgot to tell you that they are sending "cultures" to the States but we don't know WHAT cultures or for WHAT reason. To explain about her pain, XXXXXXX broke her arm in two places when she was 15. She simply walked into the house and said, "Hey Dad, I think there's something wrong with my arm". She NEVER complains, she is never "sickly" and she has an EXTREMELY high tolerance for pain. Wait - I just thought of something - she rarely has periods and has worried about infertility but has not done any kind of testing, etc. Can't imagine that has anything to do with this, but it is a "health issue" so thought I should list it. Also - there is are no family genetic indicators for what is going on (that we know of).

Hello,

Thank you for giving us some insight. Best Regards, XXXXXXX