A 15 year old female child with
1. Beta thalassemia major (on regular transfusion, HLA matched donor unavailable)
2. Splenomegaly with multiple splenic infarcts
3. Acute Pancreatitis (Amylase- 345, Lipase- 420) (non necrotising)
4. HCV infection with mild cholestasis
5. Severe autoimmune hemolytic anemia (DCT negative): Hb - 2.8 gm%
6. Widal Test 1:160 positivity with Blood culture negative