Discussion Forums > Thalassemia Major
From Hospital
Canadian_Family:
Hi,
I will check back in two hours for any responses. My daughter is in the hospital since yesterday, she was severley de-hydrated due to stomach flu (Started Tuesday) she refused to take pedialyte up until Friday. We took her to the hospital where she was on fluids since 5:00pm last night but still not responding to it. All blood results came normal (except her WBC count was 30 which is high), I think normal being 15. she is currently on an antibiotic for WBC count. Doctors have no idea so far. Her Pee is not as expected (8 ounces every four hours). The pediatrician only guess is that she is still de-hydrated. She has no fever.
Any help would be appreciated.
nice friend:
Hi C.F ,
i hope she will get well soon & may God bless her with good health , she will back to home from hospital realy soon INSHA-ALLAH.. DONT WORRY SHE WILL BE FINE SOON .. have courage your courageous response will help your daughter to heal faster and recover soon ...
Noravirus by sharmin
http://www.thalassemiapatientsandfriends.com/index.php?topic=2286.0 please
check it as well may it will help you as well bcoze in it i read abt the de-hydration as well
Best Regards
Take Care
Umair
Andy Battaglia:
Sharmin has talked this week about her son having norovirus. There seems to be a harsh strain going around among school age children. Have the doctors said this is the cause? It would cause stomach flu and dehydration, but it also should pass after a few days.
You can read more about http://www.cdc.gov/norovirus/about/overview.html
http://www.onlinebiologydegree.com/noroviruses/
Antibiotics are not indicated unless a bacterial cause is shown. Potassium depletion may be a problem and levels should be checked and potassium IV given if necessary. Magnesium depletion may also be involved. The depletion would be a result of vomiting and/or diarrhea. I assume Exjade has been discontinued during this period.
Canadian_Family:
Hi Andy,
The exjade is discontinued, she was given potassium and magnesium fluids, I am still trying to understand the antibiotic.
Please note she started vomit this Tuesday evening, vomited Wednesday and Thursday and Friday. We took her to Hospital on Friday since she was spitting with blood, severe de hydration and inflammation of stomach. We initially thought fluids might work, however, its the WBC count that worried doctors plus her very slow reaction to hydration. She is still sleeping and is on antibiotic plus electrolyte solution. She is puffy because of all that fluid and her IV is difficult to locate for blood tests.
She has not eaten for 72 hours and still sleeping.
Regards
Andy Battaglia:
Although elevated white cells was thought to be rare with norovirus, a 2007 report found otherwise.
http://archinte.ama-assn.org/cgi/content/full/167/17/1903
--- Quote ---Medical textbooks have traditionally stated that leukocytosis [raised white blood cell count] is rare with norovirus gastroenteritis and that "[r]ed and white cells are not found in the stool."3 In contrast, we found a high frequency of both leukocytosis and fecal leukocytes. One prior study in volunteers and another natural norovirus outbreak description also document leukocytosis, but neither assessed for fecal leukocytes.4-5 In addition, jejunal biopsy specimens in symptomatic volunteers exposed to Norwalk virus have shown a polymorphonuclear and mononuclear cell infiltration into the lamina propria, indicating a neutrophilic response to this agent.
--- End quote ---
.
Hopefully, the virus will soon have run its course, as it normally does within a few days.
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