pancytopenia under investigation

13yr male presented with pancytopenia Chief Complaints generalized weakness giddiness anorexia nausea no bleeding/abd pain/ pedal edema /sob History no past medical history/family history Vitals vitals within normal range Physical Examination no palpable spleen/liver Investigations Hb 8.1 wbc 2,300 plt 87,000 mcv 82 serum ferritin 764 creat 0.6 urea 24 bil 1.3(0.4+0.7) sgpt 46 na 141 k 4.69 ldh 200 cervicwl lymphadenopathy malaria negative Diagnosis pancytopenia under ix Management 3 pint pcv vitcofol c od albendazole stat

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Likely infectious ( I have seen similar presentation many time in pediatric patients with EBV). However if the counts continue to drop then would need a bone marrow biopsy.

Thank you doctor
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Bone marrow biopsy for malignancy Also be rullout leukamia

Ask for bone marrow examination..could be tuberculosis/ megaloblastic...

Thank you doctor
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Rule out chronic infection TB/Enteric fever

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