An 8-year-old child with a history of uncontrolled complex seizures for which he was on zonisamide, presented with complaints of lymphadenopathy, maculopapular rash, fever, and mild facial edema. Laboratory tests: White Blood Cell count – 16.5 k/CMM Eosinophil -15% Atypical lymphocytes - 23% Alanine aminotransferase - 338 unit/L Alkaline phosphatase - 582 unit/L Aspartate aminotransferase - 144 unit/L Ammonia -102 UMOL/L Alkaline phosphatase - 582 unit/L HHV-6 IgM-elevated All other tests for cytomegalovirus, parvovirus, enterovirus, and antistreptolysin antibodies were negative. However, mild hepatosplenomegaly was observed in the abdominal ultrasound. The child was put on a high dose of steroids, hydroxyzine, and zonisamide.
The symptoms improved after five days. What is your diagnosis for this infant? *This patient case is from the Editorial Team of Docplexus and is meant for…
