Pass on the flu causes acute hemolytic anemia in 1 case.doc

 PAGE \* MERGEFORMAT 6 Pass on the flu causes acute hemolytic anemia in 1 case Of: Taozhong Bin, Li Yumei, Wang Jie, QIAO [Keywords:] cold pass, children, acute hemolytic anemia A medical records Lee children, male, 10 years old, mainly due to “fever, runny nose, 2 d, the urine color of soy sauce 1 d” emergency admission. 2 d before admission in children with fever, runny nose, lack of energy, poor appetite, no fever, chills and abdominal pain, urine color brighter. Parents to oral flu-pass 2 times 2 tablets morning and evening the next day found the body skin in children scleral moderate jaundice, the urine is color of soy sauce, accompanied by dizziness, general acid trapped, limb fatigue, weakness, eager to come to Atlanta for a hospital for treatment. denied taking other drugs. checkup: T 37 ℃, P 110 times / min, R 24 times / min, BP 115/70 mmHg, clearance of God, the spirit of poor, smooth breathing, severe anemia, appearance, body yellowish discoloration of skin, pale, pale conjunctiva, sclera jaundice, pale lips, throat congestion, lungs breathing sounds rough, law Qi, a strong heart sounds, abdominal micro Long, soft, liver and ribs 3.0 cm, sword 2.5 cm, spleen not palpable ribs, bowel sounds active. children with no previous history of jaundice and hematuria. Blood on admission showed: WBC 5.7 × 109 / L, RBC 1.03 × 1012 / L, hemoglobin 35 g / L, platelets 201 × 109 / L, neutrophils 78%, lymphocytes 14.7%. Urinalysis showed: Occult Blood (+++, protein (+ +, white blood cell (+. reticulocyte 0.2%. the quality of blood cells in the toxicity study showed significant changes, we can see the broken red blood cells. Coombs test was negative. Hepatitis B show three systems are negative. alanine aminotransferase 195 U / L, aspartate aminotransferase 24 U / L, total bilirubin 85.77 μmol / L, direct bilirubin 6.12 μmol / L, indirect bilirubin 79.65 μmol / L, urea nitrogen 8.30 mmol / L, creatinine 29.3 μmol / L . bone marrow: proliferation of nucl