Quick thinking makes a crucial difference for a boy with leukaemia

The presentation was atypical in terms of symptoms, predisposing factors and cytogenetic studies

Matthew, a seven-year-old boy and a regular patient of the practice, presents with another upper respiratory tract infection.

Boy cough chest

It is the fourth episode in the past five weeks.

He is up-to-date with his immunisation schedule, and has an unremarkable birth and developmental history.

Matthew has a healthy younger brother aged four, and there is no significant family history.

His mother reveals a five-week history of recurrent viral upper respiratory infections.

The initial two episodes