Key Clinical Message
Thrombocytopenia is a common condition in neonates. Neonatal thrombocytopenia can cause serious complications such as intraventricular hemorrhage. Papaya leaf extract may be a safe and effective therapy in persistent refractory neonatal thrombocytopenia. Papaya leaf extract was effective for improving platelet count in our baby with persistent thrombocytopenia. However, with no previous evidence of its use in neonates, its use is still experimental and should only be considered in refractory cases after team meeting and detailed discussion with family.
Platelet satellitism (PS) is defined as adherence of platelets on the surface of polymorphonuclear leucocytes and imparting a rosette-like appearance especially in ethylenediaminetetraacetic acid (EDTA) whole blood samples. We here present a case of spurious thrombocytopenia resulting from florid platelet adherence on the surface of neutrophils.
The present case includes the study of a 5 year old girl who was raped by a stranger for three hours. The study was carried out in Artemis Hospital. Through observation during initial sessions, it was gauged that the child could not express her grief verbally. Thus, the Art and Play Therapy was used, through which her exact mental state and what she had gone through was efficiently understood; helping to take appropriate measures for dealing with post-trauma of the victim.
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