Hepatopathy-thrombocytopenia vs infection-induced hemophagocytic syndrome in Wilms' tumor: a case report.

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dc.contributor.authorHathirat, Pen_US
dc.contributor.authorNumhom, Sen_US
dc.contributor.authorChuansumrit, Aen_US
dc.contributor.authorChantarojanasiri, Ten_US
dc.contributor.authorSirinavin, Sen_US
dc.contributor.authorIsarangkura, Pen_US
dc.date.accessioned2009-05-27T20:10:45Z
dc.date.available2009-05-27T20:10:45Z
dc.date.issued1993-10-01en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractA 3-year-old boy with Wilms' tumor, post operative left nephrectomy stage, had HTS on day 99 of the combined chemotherapy which lasted for more than 20 days. He had severe respiratory distress due to a moderate amount of ascites and marked pleural effusion. Because of high fever, thrombocytopenia and marked hemphagocytosis in the bone marrow, he received IVIG for 2 days. Normal platelet count and markedly decreased pleural fluid were attained within 3 days. He subsequently tolerated full doses of combined chemotherapeutic agents with an additional one (doxorubicin). In cases of HTS, IAHS should be suspected. The bone marrow should be done and treatment accordingly so that there is no need to decrease, the dosage of chemotherapeutic agents afterwards.en_US
dc.description.affiliationDepartment of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.en_US
dc.identifier.citationHathirat P, Numhom S, Chuansumrit A, Chantarojanasiri T, Sirinavin S, Isarangkura P. Hepatopathy-thrombocytopenia vs infection-induced hemophagocytic syndrome in Wilms' tumor: a case report. Journal of the Medical Association of Thailand. 1993 Oct; 76 Suppl 2(): 240-3en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/42518
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshHistiocytosis, Non-Langerhans-Cell --complicationsen_US
dc.subject.meshHumansen_US
dc.subject.meshImmunoglobulins, Intravenous --therapeutic useen_US
dc.subject.meshKidney Neoplasms --complicationsen_US
dc.subject.meshMaleen_US
dc.subject.meshThrombocytopenia --complicationsen_US
dc.subject.meshWilms Tumor --complicationsen_US
dc.titleHepatopathy-thrombocytopenia vs infection-induced hemophagocytic syndrome in Wilms' tumor: a case report.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
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