Dear Robert: non of us are professionally in the medical field. Pls. be
advised that I have attached several sites for you to contact that will be
able to help you. Md Anderson, Sloan-ketting, Nci and Oconolink (Univ. of
Pa.) I pray this will help you and we will pray for the child. Sincerely,
Lillian
-----Original Message-----
From: Robert W. Neill, Jr. <rwneill@rwneill.com>
To: Recipient list suppressed <Recipient list suppressed>
Date: Friday, April 24, 1998 3:29 AM
Subject: [MOL] Request For Assistance - Soviet Georgia
>Request For Assistance - Soviet Georgia
>
>This is reposted from CANCER@RWNEILL.COM
>http://rwneill.com
>
>Organization: Children hospital N3
>Reply-To: maia@children.kheta.ge
>From: maia@children.kheta.ge (Maia Kherkheulidze)
>Date: Fri, 24 Apr 1998 11:36:22 +0400 (MSD)
>X-Mailer: dMail [Demos Mail for Windows v1.2 Professional]
>Subject: Patient
>Lines: 88
>
>Patient - Mdzinarishvili Zurab
>Age - 4 years and 10 months
>Sex - male
>Lives in Tbilisi, Georgia
>
>Disease began in December 1997 with cough, general weakness,
>fever, respiratory disorders. Initially was diagnosed and treated as
>pneumonia.
>Several studies were performed and lymposarcoma was suspected.
>
>The first CT study, performed on 16.02.98 revealed on I-II lumbar vertebras
>level on small intestine
>mesentery projection lymphatic nodes of 0,3-0,5 cm size. On the same level
>in front of the inferior
>vena cava was seen a tissular area with distinct, rough, polycycle surface,
>of 2 cm size, which was
>considered a conglomerate of limphatic nodes.
>
>The second CT study was conducted on 21.03.98. It revealed on I-II lumbar
>vertebras level a tissular
>structure with round, rough form and distinct outlines. It occupies
>projection field of rostral offshot pancreas
>(The Structure was considered a conglomerate of lymphatic nodes).
>The lymphatic nodes of 0,6 cm size were seen on projection of small
>intestine mesentery
>(Positive dynamics comparing to the previous study).
>
>General blood Test:
>
> Date: 12.02 19.02 23.02
> 02.03 06.03 16.03 20.03 27.03
>
>Hemoglobin g\l 100 126 116
> 120 120 133 126 130
>Erythrocyte 3,6 4,0 3,7
> 4,1 4,3 4,3 4,1
> 4,5
>Color factor - 0,94 0,95
> 0,88 0,84 0,93 0,93
>0,87
>Thrombocytes per 1000 - 40 60
> 60 50 50 50 50
>Leukocytes 24,0 11,6 11,8
> 6,5 7,2 7,7 10,0
13,7
>Mielocytes % - 0,5 -
> - - -
>- -
>Metamyelocytes % - - -
> - - - -
> -
>Neutrophils-"bends"% 2 3,5 -
> - - - 1
> -
>Neutrophils-"segs" % 14 13 12
> 30 31 30 24
23
>Eosinophils % 71 48 45
> 25 28 27 30
> 30
>Basophils % - - -
> - - -
> - -
>Lymphocytes % 10 30,5 32
> 26 37 37 35
> 41
>Monocytes % 3 4,5 11
> 5 4 5 9
> 5
>ESR 38 32 31
> 26 21 20 18
> 8
>
>
>Results of the serological study on yersinial infection and tuberculosis
>was negative.
>
>Biochemical blood test:
>AST - 17 units \ liter, ALT - 18 units \ liter, Sialus acid -
>150, "O"-strephtolisine - 125,
>"C"-reactive protein - (---), rhevmatoid factor - (---)
>
>Study medulla marrow:
>
>Mieloblastus - 0,25%
>Promielocytes - 0,25%
>Mielocytes - 5,25%
>Metamielocytes - 3,25%
>Lymphocytes - 20,75%
>Monocytes - 0,5%
>Plasma cells - 0,25%
>
>Neutrophils-"bends" - 5,0%
>Neutrophils-"segs" - 15,25%
>
>Eosinophils:
>Promielocytes - 0,25%
>Mielocytes - 5,25%
>Metamielocytes -1,25%
>Neutrophils-"bends" - 2,25%
>Neutrophils-"segs" - 34,0%
>
>General urine test and urine test on bilirubin without changing.
>Apart from this in the research institute of Parasitology laboratory
>studies on helminthosis were conducted.
>Negative answers were received on all events.Specialist from the research
>institute of Parasitology
>suspected Fascioliasis, unfortunately they an were unable to conduct
>specific study.
>>From their point of view the disease is in the incubation stage which
>will finish at the end of April.
>At present the patient's condition is unsatisfactory. Respiratory disorders
>still occur (cough, weakness).
>High eosinophilys, changes on CT are unexplained.
>
>We would request:
>Your opinion on the diagnosis
>
>
>Looking forward for your reply.
>Thank you in advance.
>Sincerely yours,
>
>Ivane Chkhaidze MD
>Deputy director
>Michael Guramishvili Pediatric Clinic
>Tbilisi, Georgia
>
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