Pancitopenia Inducida por Virus en la Edad Pediátrica

Abstract

Pancytopenia despite being a rare analytical finding, is one of the most important clinical-hematological diseases in current clinical practice because of the complications involved. Possible causes of pancytopenia are very diverse, ranging from mild infections to life-threatening conditions, such as aplastic anemia and some cancers. This requires a diagnosis study immediately to rule out serious pathology.

Because of the diverse etiology that can produce pancytopenia, a differential diagnosis thorough is essential to avoid diagnostic mystakes. For this reason show the case of a female patient of 5 years 11 months, born and resident in Latacunga, Ecuador is presented. No clinical, surgical or family history of importance. Which came by non-specific symptoms such as unquantified thermal hikes, moderate epistaxis and petechiae scattered throughout his body 36 hours of evolution, additional tests to find significant sharp decline in hematologic values. No immediate treatment is started up studies. Hematologic values of the 3 cell lines were still declining, due to persistent upper respiratory symptoms, negativization of all antibodies requested and finding lymphocytosis in all biometry performed prophylactic antibiotic treatment is initiated, by the hemoglobin value transfusion of two packages is decided globular and interconsultation to hematology, it is delayed for lack of hematologist at the hospital scheme is maintained and the fifth day of index hospitalization hematologic begin to normalize, no signs of active bleeding evidenced by what is categorized as pancytopenia induced virus, communicate by telephone with hematologist hospital unit tertiary who upon learning of the progress of the case does not recommend performing bone marrow aspiration and suggests continuing with the proposed scheme, which patient evolves favorably and is discharged with controls later.