We have a 15 year old girl who was
transferred to our hospital after being diagnosed with AML M2 subtype. She was
febrile to 40.6C and her most recent CBC had a WBC of 1.0, hemoglobin of 8.6,
and platelets of 21. Her family had no insurance and no money for a private
hospital or transfer to Nairobi. She was at such high risk of infection if
given chemotherapy on the standard female wards that the resident thought it
was more ethical and better for her survival to give her palliative care rather
than began induction chemotherapy.
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