[CIS-PAGID] Abnormal spleen scan

[Ashish Kumar]

Selective ignorance? The child is fine, maybe the test was wrong.
 
Ashish Kumar MD, PhD
Assistant Professor
BMT/Immune Deficiency
Cincinnati Children's Hospital


>>> "Church, Joseph" <JChurch at chla.usc.edu> 4/8/2011 1:50 PM >>>


Colleagues:
 
A 3+yo Caucasian girl was hospitalized locally for FUO.  No focus of
infection was found although studies for acute respiratory virus
infection were not done.   
 
As part of her evaluation, a gallium scan was performed.  It was
reported to be normal except that the spleen showed no uptake on day #2
and limited uptake on day #3.
 
Howell-Jolly bodies were not seen on two smears.
 
She has recovered fully, but I am still left with a child with possible
hyposplenism.  Currently, she is on penicillin prophylaxis.
 
I plan on looking for hemoglobinopathies and and autoimmune disorders. 
Any other ideas?
 
Joe Church, MD
Children’s Hospital Los Agneles
 


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