UK case study
A boy aged 10 of Mediterranean origin was taken to the Accident and Emergency department by his parents. The child was jaundiced, the child had rapid breathing, and enlarged spleen and produced urine in the colour of dark tea. The boy was due to go on a trip with his parents to Africa. And he was receiving a course of antimalarials similar to primaquine.
His blood film showed “bite cells” and after supravital staining the presence of Heinz bodies.
1. What you suggest for diagnosis- justify your answer. (30%)
2. What cause the jaundice.(30%)
3. What are Heinz bodies. (10%)
4. List other factors of symptoms that may initiate in this patient. (10%)
5. What treatment you would recommend in this case. (10%
6. Review the variants of this disease (10%)