স্বাস্থ্য টিপ

Arnanb’s mother works at a bank. She remains in office till 7 pm and thus gets less time to take care



of her child. However, recently she noticed that her five years old son is getting gradually pallor and



often suffers from fever, cough, bowel problem etc. Recently, she came to me with Arnab as he is



having oral thrush and low grade fever along with gum bleeding while brushes teeth.



On examination, it was revealed that Arnab was having moderate to severe anaemia with increased



body temperature and oral thrush. From History, physical examination and CBC finding, I thought



Arnab has developed Aplastic anaemia. Bone marrow examination confirmed the diagnosis.



Aplastic anaemia is a serious condition and it may be inherited or acquired in origin. Cause may be



unknown or may be secondary to ingestion of some drugs, radiation, viral infection etc. Along with



supportive treatment like blood transfusion, antibiotics, systemic steroid and immunotherapy may



be tried. But the choice of treatment is bone marrow transplantation. In spite of all effort mortality



rate is about 50-80%. Death in Aplastic anaemia is due to haemorrhage and or infection.



So all types of anaemia are not as simple as we think, thus moderate to severe anaemia without



enlargement of any organ demands through evaluation for correct diagnosis, better and timely



management.



Source - The Daily Star