Hi,
Any history of fever or any other illness in recent past?
Looking tiered and dull, with history of 2.5 kgs
weight loss over 1 month in a child is something that needs to be evaluated without delay. Sometimes this happens following febrile illnesses like
typhoid or IMN (mononucleoses). If no such suggestive history, we need a basic workup to rule out conditions like
anemia, chronic infection/inflammation or hematological disorders.
If I were his treating doctor, after examining him for pallor and enlarged lymph nodes/spleen/
liver, I will order few more tests including a blood count, ESR and peripheral smear. Kindly discuss with a
pediatrician.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Muhammed Aslam T. K., Pediatrician