History
A three month old male infant was brought into the emergency department by his mother with a first time presentation of haematochezia and haematuria, noted in his nappy. She also complained that he was short of breath and she had noted a rash that had appeared on his face, body and legs that morning.
There was no accompanying haematemesis, diarrhoea, vomiting or fever.
She also noted that he was not feeding as well as usual.
Past Medical History
The infant had been admitted to hospital in Zimbabwe at 2 months of age for “breathing problems” but no diagnosis had been given. During his admission he was transfused with packed red cells for anaemia and was discharged on iron and bactrim.
Birth History
Mother was 41 years old, P3G4
At 24 weeks gestational age, the mother was treated with 3 days of chloroquine for a possible case of malaria. The symptoms resolved and she went on to have an uneventful remainder of her pregnancy. The infant was born term, NVD with no complications during the delivery.
The infant was both breast and formula fed, duration was not specified.
Social History
The family are from Zimbabwe, now living in Johannesburg for the last month. The infant was born in Zimbabwe and lived there for the first two months of his life.
He has three older siblings aged 3, 6 and 8 who are all well
Vaccinations
Up to date
Medication
Currently completing a course of iron and bactrim. No history of any traditional medication use (orally or via enema).
Allergies
None known
