Lymphadenopathy. - Chest. Bibasilar rales, signs of consolidation. - Heart. Neck veins, S3, increased murmur, pedal edema. - Abdomen. Increase in size of liver or spleen, - Extremities. Edema, ecchymosis, petechiae.
Mental status changes.
Irritability in infant or toddler. Laboratory - Minimum Lab. True aplastic crisis with very low reticulocyte count and only anemia is usually seen in children and associated with infection by the parvovirus B19. Relative aplastic crisis with a reticulocyte less than 100,000 and a falling hemoglobin, may be associated with viral or bacterial infection, pain episodes, or occur de novo . White count and platelet count may also be low.