Doctors Lounge - Hematology Answers
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Forum Name: Hematology Topics
|Dr. Chan Lowe - Wed Aug 29, 2007 5:27 pm|
|Dr. Chan Lowe - Wed Aug 29, 2007 5:36 pm|
I hope you are able to see this post. There was a computer error while I was trying to remove the duplicate post from our system and it erased both your posts.
There are a few conditions that may be causing the persistent lymph nodes. If a diagnosis is not able to be made it may be helpful to biopsy one of the nodes. This will allow the pathologist to examine the tissue under the microscope and be sure there are no cancer cells (putting everyone's mind at ease), do some cultures for specific bacteria/viruses and look for any other clues.
An infection from a bug called bartonella (cat scratch disease) can cause persistent lymph node swelling (although it usually is not all over the body). Also, when mono was tested for, if the "monospot" test was used this test is not reliable in a child your son's age. Instead EBV titers must be done. Ebstein Barr Virus (the cause of mono) can cause these symptoms.
It may also be worth testing for infections such as coccidiomycosis (valley fever) or histoblastosis depending on where you live. These are fungal infections that can cause persistent lymph node swelling.
If no cause can be found, seeing an infectious disease doctor and possibly an immunologist may be helpful in guiding further work up.
Best wishes. Sorry again about the computer problem.
|smule1985 - Thu Aug 30, 2007 7:55 pm|
Thank you so much for your reply! I was worried there that no one would answer me. We had an appointment today with our hematologist at Detroit Children's Hospital. He believes that the lymph nodes have gone down a little which i'm not so sure, they seem the same to me but im not a doctor! They don't want to do a biopsy on his lymph nodes, its to much for a little guy and he still thinks that it is just a virus since he is not acting sick. They did another CBC today and his wbc went down to 10,300 thank god! i am sooo relieved, he said that in the blood smear all the cells were normal and there were alot of active lymphocyte cells?? i think im not exactly sure but i think thats what he said, and i have no idea what that means. All the other tests were in the normal range also. They never did find out what virus it was and i believe they are not going to keep trying to test it. He told me he must have had a viral infection and now its gone and he is getting better. We still have to go back in a month and retest him.
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