Author(s): Sreelatha Martha, Srinivas Kalyani, Preethi G, Greeshma Reddy, S. Rajesh Sippana, Purana Chandra Rao
PRESENTATION OF CASES Case 1 A 7-year-old male child was brought by his mother with chief complaints of fever, cough, increasing pallor since 10 days and shortness of breath since 2 days. History of (h/o or H/o) easy fatigue ability, h/o hypopigmentation of hair since birth. No h/o jaundice, abdominal distension, hematemesis, melena, pedal oedema, bleeding from any site. No h/o burning micturition, loss of appetite, significant loss of weight, No h/o contact with tuberculosis. History of similar complaints 6 months back was present. Child was admitted for fever & cough for 4 days and was given antibiotics, blood transfusion. Child was born out of 3rd degree consanguineous marriage. His perinatal & developmental history was normal. His brother aged 9 years was normal.