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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever, Rashes And Protrusion Under Rib?

My 10 month old just got over a virus with fevers ranging from 101 to 103.5. He is presently not febrile but has developed a rash on arma , legs and abdomen. When chNGING HIS DIAPER I NOTICED A SLIGHT PORTRUSION UNDER HIS LEFT LOWER RIB. ANY CONCLUSIONS?
Thu, 18 Sep 2014
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Pediatrician, Neonatology,  's  Response
Protrusion under left lower rib could be spleen which has enlarged. I think its not associated with the fever. Enlargement of spleen occurs in Thalassemia which is very common in India. Get a ultrasonography of abdomen done, if it reveals splenic enlargement get a HPLC done for thalassemia screen which is even recommended for every child. If you live in kala azar endemic area do a RK39 test also.
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What Causes Fever, Rashes And Protrusion Under Rib?

Protrusion under left lower rib could be spleen which has enlarged. I think its not associated with the fever. Enlargement of spleen occurs in Thalassemia which is very common in India. Get a ultrasonography of abdomen done, if it reveals splenic enlargement get a HPLC done for thalassemia screen which is even recommended for every child. If you live in kala azar endemic area do a RK39 test also.