Case Report on Thalassemia in Children

Authors

  • Laltanpuii1, Archana Mourya2 , Manoj Patil3

DOI:

https://doi.org/10.37506/ijfmt.v14i4.12692

Keywords:

Thalassemia, Cooley’s anemia, Mediterranean anemia, hereditary, hepatosplenomegaly

Abstract

Introduction: Thalassemia which is also called as Cooley’s anemia or Mediterranean anemia is a group
of hereditary hemolytic anemia characterized by reduction in the synthesis of hemoglobin. The word
‘thalassemia’ is derived from the Greek word ‘Thalassa’ which means the great sea.
Clinical Findings: Abdominal pain, fever (Temperature - 101°F), Anemia (Hb – 6.4gm%).
Diagnostic Evaluation: Blood test: Hb – 6.4gm%, Total RBC count – 2.3 millions/cu mm, RDW – 18.2%,
HCT – 20.2%, Total WBC count – 3200/cu mm, Monocytes – 02%, Granulocytes – 20%, Lymphocytes –
77%, AST(SGOT) – 112 U/L.
Peripheral Smear: RBC – mild hypochromic with mild cytosis which show few microcytic and mildly
hypochromic. Platelets – Reduced on smear, APC – 62,000 cells.
Ultrasonography: Splenomegaly.
Therapeutic Intervention: Blood transfusion, Inj. Cefotaxime 750mg IV x BD, Syr. Azee 4ml x OD, Tab.
Folic Acid 5mg x OD, Tab. Udiliv 150mg x BD, Cap. Hydra 500mg x OD, Tab. Prednisolone 10mg x BD.
Outcome: After treatment, the child show improvement. His fever and abdominal pain were relieved and
his Hb% increased from 6.4gm% to 11gm% after blood transfusion.
Conclusion: My patient was admitted to Pediatric Ward No – 14, AVBRH with a known case of Thalassemia
and he had complaint of fever and abdominal pain. After getting appropriate treatment his condition was
improved.

Author Biography

  • Laltanpuii1, Archana Mourya2 , Manoj Patil3

    1M.Sc. Nursing, 2Professor, Department of Child Health Nursing, Smt. Radhikabai Meghe Memorial College
    of Nursing Sawangi (Meghe), Wardha, Datta Meghe Institute of Medical Sciences (Deemed to be University)
    Maharashtra, India, 3Research Consultant, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical
    Sciences (DU) Sawangi (M), Wardha India

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Published

2020-10-29

How to Cite

Case Report on Thalassemia in Children. (2020). Indian Journal of Forensic Medicine & Toxicology, 14(4), 6815-6818. https://doi.org/10.37506/ijfmt.v14i4.12692