طفل عمره ٤ سنوات، أكل فول مدمس أمس، واليوم صار شاحباً جداً ومصفراً، وبوله بلون الكولا، ونبضه ١٤٠. الهيموغلوبين ٦٫٨. ما الأرجح؟

A 4-year-old ate fava beans yesterday and today is very pale and jaundiced, with cola-coloured urine and HR 140. Hb 6.8 g/dL. What is most likely?

1. Acute hepatitis A
2. Chronic iron-deficiency anaemia
3. Haemolysis from G6PD deficiency
4. Simple urinary tract infection

Answer: C) Haemolysis from G6PD deficiency. G6PD deficiency is common regionally; fava beans or certain drugs trigger acute haemolysis with pallor, jaundice and dark urine. Support, possibly transfusion and trigger avoidance are needed.