Acute ITP
Four and half year boy diagonised with chronic ITP SINCE OCTOBER 2015.Has bleeding some times.Recommended SPLENECTOMY.SHOULD WE GO AHEAD OR EXPLORE OTERE AVENUES IF ANY.RISK OF SPLENECTOMY?
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Venkat Raghav
General Physician Bangalore

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Hello, splenectomy is not recommended before 5 years of age , child becomes vulnerable to infections .He should be vaccinated for pnumoccocal , h influenza and meningococcal vaccines before doing splenectomy and he may need to take antibiotics till adolescents to avoid infections
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