With this, doctors immediately swung to action doing an X-ray of the right leg where it showed that the boy had a possible fibular fracture. The orthopedic surgeon requested that another imaging was taken after a while of inactivity with the leg. This child's inability to bear his weight could be as a result of an infection, malignant growth, inflammation, and neuromuscular conditions.
The mother and child returned home but 4 weeks later things became worse as the left legs could no longer hold his weight. He was forced to begin crawling instead of walking. It became worse when she tried to feed him and she noticed that he bled easily from his gum that were swollen. This brings up possible sign of a cancer (that of the blood leukemia) as it can cause overgrowth of the gum as well as reduce platelet causing the boy the bleed. It could also be as a result of bleeding disorder.
He was rushed back to the hospital and this time, he was suffering from serious pain in both legs. He was agitated, and doctors had to do another screening of the legs. This time, a CT scan of the legs were done and no fracture was seen but lab works began to bring to light the severity of the case at hand as the result came back with Low hemoglobin level of 9.5 g/dl (normal - 11.0 and 13.5 g/dl), low mean corpuscular volume and low percent transferrin saturation.
After the lab work was done, a peripheral blood smear was done and result showed that his red blood cells were smaller and paler than normal so doctors could also suspect nonaccidental trauma, iron deficiency, or poison such as lead poisoning and possibly anemia as a result of chronic disease. When it comes to iron deficiency anemia in babies and toddlers, it can be as a result of drinking too much cow milk or limited intake of food rich in iron.
An MRI of the boy's head and spine was done and it came back normal so it gave reasons for the doctors to believe that it might be as a result of the autoimmune condition known as Guillain-Barre syndrome where the immune system attacks the peripheral nervous system but to confirm this, a lumber puncture needed to be performed. The result came back and the number of white blood cells were normal, the glucose level were normal, the protein levels in the spinal fluid were normal. So Guillain-Barre syndromewas ruled out from the list.
Soon the boy developed a rash and was transferred to another hospital for continuous treatment. The rashes were pinpointed with bleeding spots and his gum swelled more. He was experiencing pain in both legs and so had to keep them in a frog-like position. Blood testing was done for rheumatologic conditions which could be associated with nutrition or blood-vessel inflammation. The result came with inflammatory markers being normal, vitamin D and B12 levels normal, heavy metal screening negative.
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