virgola82
Forum Guru
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A 23 yo presented with svere anemia and polyarthralgias. There was a history of a febrile episode. Bone marrow biopsy finding shows RBC hypoplasia.. What is the treatment of choice?
A. observation
B. ganciclovir
C. Ciprofloxacin
D. Immunoglobulin therapy
E. Plasmapheresis
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| young_doc
Forum Guru
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D.
Although we'll never encounter a Questions with as little information as this question, looks like Parvo B19. We can't answer this properly because we don't know how "severe" the anemia is?
If it's below Hg 8-10, then the answer would be to transfuse. If this patient is immuno-compromised, then he should receive Ig therapy. Since only "Ig therapy" is an answer, i go with D.
(according to 2005 CDC guidelines)
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| prathapdoctor
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observation.
parvovirus infection, i think all the other treatment options are ineffective.
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| prathapdoctor
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yes,we can give immunoglobulins to immunocompromised individuals.
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| young_doc
Forum Guru
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Well i was thinking to just observe at first... but the questions says "Severe anemia", without giving us numbers...? So it's hard to assess whether he/she'll need transfusion or not.
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| sprint123
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Agree with youngdoc...Buy the best option available is observation --------They didn't mention about blood transfusion so let's wait!
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| sailing boat
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i too thonk observation,. yes if it were ic, then may be transfusion
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| dr19
Forum Senior
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considering,,severe anemia,, I think we should choose IGtherapy.
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| Sayulita
Forum Guru
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the questions says what treatment
I will go with D.-Immunoglobulin therapy
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| doyoudig
Forum Guru
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treatment of Choice -- DDD
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| virgola82
Forum Guru
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The right answer is Immuneglobulin. It's a case of parvovirus infection and the treatment of choice is Ig.
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