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Alamout castle

Alamout castle. Mojgan Kiani Amin Pediatric Immunology and Allergy Departement Qazvin University of Medical Sciences Qazvin-IRAN. LIVER ABSCESS. A 3-year-old Boy with G6PD-deficiency and liver abscess. Cc; Prolonged fever Right upper quadrant pain PH; No significant problem

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Alamout castle

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  1. Alamout castle

  2. Mojgan Kiani AminPediatric Immunology and Allergy Departement Qazvin University of Medical SciencesQazvin-IRAN LIVER ABSCESS

  3. A 3-year-old Boy with G6PD-deficiency and liver abscess Cc; • Prolonged fever • Right upper quadrant pain PH; • No significant problem FH; • Far relatives PE; • Normal weight and development

  4. Lab exam; • Normochrome ,normocytic anemia • Leukocytosis Abdominal sonography; • Liver abscess

  5. Immune system work up showed; • CBC count ;Low Hb ,leukocytosis,increased ESR • Mild hyperbilirubinemia,(indirect),increased retic count • Normal B and T cell count • Normal immune globulin level • T cell function=normal • B cell function=normal • Neutrophil count=normal,NBT=normal • Low CD16(8%),Normal CD56 • Low G6PD activity • Normal chemotaxis

  6. Oxidative metabolism disorders; • CGD • Mpo deficiency • G6PD deficiency • Glutathione synthetase deficiency

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