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A two-year-old boy was admitted to the hospital because of thrombocytopenia, leukocytosis, and hepatosplenomegaly.
The boy had been born of an uncomplicated full-term pregnancy and delivery, with a birth weight of 3.5 kg. He was in excellent health until two or three weeks before admission, when a cough and coryza developed. One week before admission, a physician diagnosed otitis media and prescribed amoxicillin, with improvement of the symptoms; the child was playful and happy, although he remained warm to the touch. Three days before admission, a petechial rash appeared.
Two days before entry, the patient was admitted to another hospital,
Differential Diagnosis
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Dr. Cathy G. Rosenfield's Diagnosis
Pathological Discussion
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