10 de marzo de 2010

Hepatoesplenomegalia, pancitopenia

Arch Pediatr Adolesc Med. 2003 Feb;157(2):201-5.


Fever, hepatosplenomegaly, and pancytopenia in a 5-month-old infant.

Kane JM, Schmidt K, Conway JH.

Riley Hospital for Children, Section of Pediatric Infectious Diseases, 702 Barnhill Dr, Room 1740X, Indianapolis, IN 46202-5225, USA.

Hepatosplenomegaly in a young child can be an ominous physical finding, potentially representing a metabolic, malignant, or infectious process. We present the case of a 5-month-old girl who had fever, hepatosplenomegaly, and hematologic abnormalities at the initial examination. This case demonstrates how a comprehensive understanding of the pathophysiologic characteristics of hepatosplenomegaly and a systematic and thorough workup can help ensure that important diagnoses are not overlooked

PMID: 12580693 [PubMed - indexed for MEDLINE]

MeSH Terms:

Bone Marrow Examination, Diagnosis, Differential, Fever/etiology*, Hepatomegaly/etiology*, Histoplasmosis/diagnosis*, Pancytopenia/etiology*, Splenomegaly/etiology*


 

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