enlarged spleen on a 11 year old boy. hospitalized for
His spleen is measuring 14 right now (per an ultrasound done in December 2018)
He is getting random spleen pains, and also on the right side - same area as the spleen pain just on the opposite side.
His inflammatory markers have been normally high.
His last blood tests done )- XXXXXXX 19, 2019 showed the following:
Mean Platelet- HIGH
C Reactive - HIGH
Sed Rate- HIGH
White Count- down
Needs medical attention
Thanks for using the Ask a Doctor service.
I have gone carefully through your query. Your child has suffered from a viral infection and EBV is one among the many viruses that can give rise to such a presentation. EBV infections are associated with splenic enlargement and it may take some time for this enlargement to subside. The pain on both sides could also be due to costochondritis or inflammation of the cartilage of the ribs and can involve the same region as you have described. It could be a likely sequel of such a viral infection. Since the WBC count is low and the CRP is high, he would best be given an antibiotic coverage.
Wait and watch. Give paracetamol. Talk to your doctor if you need to give ibuprofen. The child also needs to be examined clinically.
Let me know if I could help further.
Possibly normal, but get an ENT evaluation done
Thanks for writing back. The nose bleed could be normal but nevertheless calls for an ENT evaluation (unless that has been done already) to rule out nasal pathology like polyps. A coagulation panel also needs to be sent for. Other things that I had said earlier remain valid.