Case of the Month
“A Baby from Haiti”
A disease simulation using GIDEON's diagnosis module.
A 16 month old child is brought to the United States following adoption in Haiti. One week after arriving, the child develops a prolonged illness characterized by fever, cough and respiratory distress. Physical examination reveals generalized lymphadenopathy and hepatosplenomegaly. A chest roentgenogram discloses pulmonary infiltrates, and a moderate lymphocytosis is present. What is the differential diagnosis in this case?
Clinical findings were entered into GIDEON:
… and the diagnosis result was:
In addition to the top diagnosis of Tuberculosis, GIDEON provided the following additional information:
Comparison of signs and symptoms for the differential diagnosis list
A graph of the cases and disease rates of Tuberculosis in Haiti
