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. Category:Indian films Category:Films about corruption in India Category:Films about railway stations in India Category:Films about businesspeople Category:Films about politicians Category:Films about public transport in India Category:Films set in 2007 Category:Films set in Uttar Pradesh Category:Films shot in Uttar Pradesh Category:Films about smoking Category:Films featuring an item number Category:Indian thriller films Category:Indian crime thriller filmsIntroduction ============ Platelets are released from the bone marrow and circulate in the blood as a normal, vital component of human blood. They are involved in a number of physiologic and pathologic conditions, including thrombocytosis, thrombocytopenia, and immune-mediated thrombocytopenia. In these conditions, their peripheral platelet count and function is often impaired. Thrombocytopenia is associated with increased risk of bleeding. Platelets are involved in blood coagulation, thus platelet count is an essential part of complete blood count (CBC) and plays a central role in the diagnosis and monitoring of thrombotic events. [@B1] Case Report =========== A 3-year-old female was referred to the hematology clinic with complaints of fever, left arm pain, and persistent leukopenia. A week earlier, she was diagnosed with severe, intermittent neutropenia and was treated empirically with intravenous antibiotics. A CBC was ordered to rule out a febrile transfusion reaction. Peripheral blood smear showed 12% neutrophils, platelets were within normal limits. Two weeks after the neutropenia diagnosis, the CBC showed hematocrit of 30%, platelets of 4.7×10^4^/µL, and hemoglobin of 5.6 g/dL with 3+ reticulocytes. The other laboratory investigations were unremarkable except for serum lactate dehydrogenase (LDH) at 580 IU/L. On detailed questioning of the patient's mother, she reported that her child had symptoms of sore throat, fever, and a headache for 3 days. She was managed symptomatically and had recovered. Over the last few days, she noticed persistent low-grade fever, poor oral intake, and swelling of her left arm. The arm was so painful that

 

 

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