An 8-year-old boy with fever, splenomegaly, and pancytopenia

Rachel Offenbacher, Brad Rybinski, Tuhina Joseph, Nora Rahmani, Thomas Boucher, Daniel A. Weiser

Research output: Contribution to journalArticle

Abstract

An 8-year-old boy with no significant past medical history presented to his pediatrician with 5 days of fever, diffuse abdominal pain, and pallor. The pediatrician referred the patient to the emergency department (ED), out of concern for possible malignancy. Initial vital signs indicated fever, tachypnea, and tachycardia. Physical examination was significant for marked abdominal distension, hepatosplenomegaly, and abdominal tenderness in the right upper and lower quadrants. Initial laboratory studies were notable for pancytopenia as well as an elevated erythrocyte sedimentation rate and C-reactive protein. Computed tomography (CT) of the abdomen and pelvis showed massive splenomegaly. The only significant history of travel was immigration from Albania 10 months before admission. The patient was admitted to a tertiary care children's hospital and was evaluated by hematology-oncology, infectious disease, genetics, and rheumatology subspecialty teams. Our multidisciplinary panel of experts will discuss the evaluation of pancytopenia with apparent multiorgan involvement and the diagnosis and appropriate management of a rare disease.

Original languageEnglish (US)
Article numbere20192372
JournalPediatrics
Volume146
Issue number1
DOIs
StatePublished - Jul 2020

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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    Offenbacher, R., Rybinski, B., Joseph, T., Rahmani, N., Boucher, T., & Weiser, D. A. (2020). An 8-year-old boy with fever, splenomegaly, and pancytopenia. Pediatrics, 146(1), [e20192372]. https://doi.org/10.1542/peds.2019-2372