An all-consuming case.
This is a case of a 6-month-old child who presented to the local paediatric department with a relatively short history of developmental regression, hypotonia, weight loss, irritability and hepatosplenomegaly. The child then proceeded to spike temperatures up to 39°C. The case demonstrates the logical investigative process involved in such a case and discusses the differential diagnoses at each stage. It also highlights the importance of multi-specialty work in complex cases and the potential consequence of premature closure of diagnosis.
Jameson
E
E
Royal Manchester Children’s Hospital, Manchester, UK.
Rawling
P
P
Thiruchunapalli
D
D
Stahlschmidt
J
J
Frazer
S
S
D006801:Humans; D007223:Infant; D008297:Male; D009163:Mycobacterium bovis; D014376:Tuberculosis / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy