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  

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