Case presentation A 7-month-old female infant was transferred from a different hospital to manage a fever with a suspected setting of leukemia. The patient had a 1-week history of fever with nonbilious, nonbloody emesis, 0.5 lb weight loss, and progressive abdominal distension. Previous diagnosis at a different medical facility Initially diagnosed with a viral infection- alternating doses of acetaminophen and ibuprofen were prescribed. The fever appeared to resolve Later, cessation of solid food intake was observed.
Increased irritability Slight regression in motor milestones With these symptoms, the patient was rushed back to the emergency department. The laboratory examinations showed the following significant results White blood cells count: 29.89 (4-10 × 10 9 /L) Hemoglobin: 5.8 (12-15 g/dL) Platelet count: 578 (150-400 × 10 9 /L) Absolute neutrophil: 15,540 (1500-8000/mm 3 ). The…
