I had to translate the initial diagnostic report from our central hospital. For the record, here it is:
NAME: Kezia Lima Gascoigne
FATHER: Angus Robin Gascoigne
MOTHER: Fernanda Soares Lima
Swollen spleen for investigation.
The child was prescribed antibiotic treatment for impetigo on 02/05/06. Although this was effective, she developed a swollen spleen and lymph nodes and was admitted to the Paediatric Service on 05/05/06, where she was tested, diagnosed with severe anaemia, given a blood transfusion and prescribed more antibiotics.
On 10/05/06 she was allowed to return home and prescribed to take antibiotics (Clavox 250) for a further 7 days.
On 16/05/06 her mother noted facial edema, ambulatory difficulties, general pallidness and swollen lymph glands in the cervical region.
a) Cervical region (dorsal): adenopatic, in the form of hard consistency packets.
b) Swollen spleen to 14 cm below the costal rib.
c) Liver: swollen and hydrated.
d) Other: facial edema
After testing for haemoglobin with a level of 4 mg/dl, she was given a further blood transfusion (Group A+), intravenous crystalline penicillin and folic acid.