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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need Help With Analysis Of Blood Work For Viral Infection

i am refering analysis of a girl 8 months age.
she is quite active, no pale skin.
she had viral infection with temperature of 39.7c.
in the hospital , they made blood analysis, and it showed she she had hg=80, rbc= 3, and wbc= 4.1 with platelets of 140.000
the second day, ultrasound was made and every thing is normal except for slight increasing in the size of the spleen.
after 3 days of this first blood analysis, we made another blood analysis and it showed that hemoglobin went upwards from 80 to 92, whichis good, and wbc from 4.1 to 6.2, and platelets from 140.000 to 184.000 and also rbc from 3 to 3.7.

another analysis done was that the fraction albumin is 66%(normal 53-63) and fraction gamma globulin is 11%(normal 14.5-19.5).
with also a dcreased iron level as 6.04(normal 7.2-18)
Mon, 29 Sep 2014
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Pulmonologist 's  Response
Thanks for your question on HCM. In my opinion your child is having deficiency anaemia. As her Hb is low with low serum iron. And spleen is also mildly enlarged. In neonatal age group spleen is the major site for hematopoesis (development of blood and blood cells). So in anemia its function has to increase to match up the needs of low Hb. So mild spleenomegaly in children can be due to anemia. So discuss these things with your neonatologist
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Need Help With Analysis Of Blood Work For Viral Infection

Thanks for your question on HCM. In my opinion your child is having deficiency anaemia. As her Hb is low with low serum iron. And spleen is also mildly enlarged. In neonatal age group spleen is the major site for hematopoesis (development of blood and blood cells). So in anemia its function has to increase to match up the needs of low Hb. So mild spleenomegaly in children can be due to anemia. So discuss these things with your neonatologist