This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Bleeding disorders, Subject name: Pediatrics
[{'content': 'A 3-year-old child came to OPD with bruising and generalized petechiae. No hepatosplenomegaly or lymphadenopathyis noted. He have ahistory of viral illness 2 weeks back. On investigation a normal hemoglobin, hematocrit, and white blood cell (WBC) count and differential. The platelet count is 19,000/iL. All of the following are associated with above illness except? \nSelect and explain. \nA. Ebstein-Barr virus, B. HIV, C. Helicobacter pylori, D. Cytomegalo virus', 'role': 'user'}, {'content': 'Answer: D \nExplanation: The diagnosis is ITP. It is the most common form of thrombocytopenic purpura in children. Associated with Ebstein-Barr virus, HIV, Helicobacter pylori Clinical features:- Generalized petechiae and purpura, bleeding from the gums and mucous membranes, Splenomegaly, lymphadenopathy, bone pain, and pallor. Lab findings Platelets count <20,000/mm3 Coagulation normal Platelet size normal/increased Bone marrow- Increased Megakaryocytsis Treatment:- Platelet transfusion IV Ig IV anti D therapy Splenectomy Rituximab', 'role': 'assistant'}]