Abstract
The Journal is the primary organ of Continuing Paediatric Medical Education in Sri Lanka. The journal also has a website. Free full text access is available for all readers.The Sri Lanka Journal of Child Health is now indexed in SciVerse Scopus (Source Record ID 19900193609), Index Medicus for South-East Asia Region (IMSEAR), CABI (Centre for Agriculture and Bioscience International Global Health Database), DOAJ and is available in Google, as well as Google Scholar.The policies of the journal are modelled on the Committee on Publication Ethics (COPE) Guidelines on Principles of Transparency and Best Practice in Scholarly Publishing. Sri Lanka Journal of Child Health is recognised by the International Committee of Medical Journal Editors (ICMJE) as a publication following the ICMJE Recommendations.
Highlights
Homozygous sickle cell disease (Hb SS) or sickle cell anaemia is extremely rare in Sri Lanka[1]
Magnetic resonance imaging (MRI) of both lower limbs performed at this stage showed well demarcated serpiginous areas of high signal intensity in T2weighted short-tau inversion recovery (T2w-STIR) images involving the left tibial diaphysis and upper half of the right tibial diaphysis (Figure 3)
Pus culture was positive for lactose-fermenting coliforms and the bone histology confirmed acute on chronic osteomyelitis with mixed inflammatory cell infiltration and fibrosis of the marrow space (Figure 4)
Summary
Homozygous sickle cell disease (Hb SS) or sickle cell anaemia is extremely rare in Sri Lanka[1]. Case report A 10-year old Sri Lankan Sinhalese girl, who was diagnosed to have homozygous sickle cell disease, was transferred to our unit due to prolonged fever and generalised body pain of one-month duration. This child has had multiple episodes of dactylitis and acute vasoocclusive pain and had been receiving infrequent blood transfusions. Before admission to our unit, the child had received multiple courses of antibiotics including intravenous flucloxacillin, clindamycin, amikacin and teicoplanin for which she did not show a response.
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