Child Mugunthan 2years old male boy was admitted KMCH on 22.09.2017, (up to 7.10.17) bone marrow examination revealed increase in blasts and immunophenotyping revealed precursor B cell lineage. He was diagnosed as pre B cell lymphoblastic leukemia (Blood Cancer) and was admitted.
DR. RAJASEKAR (Consultant hematologist & bone marrow transplant physician) and Dr.ASWATH (Consultant pediatrician and Neonatologist), discussion with me regarding of disease, prognosis, treatment plan,  2 ½ years of total treatment and first 6 months more expensive 6laks to 8laks and total treatment cost of 8laks to 10laks (already paid for unknown disease more than 5laks to 6laks ).
Meanwhile the bone marrow trephine biopsy also revealed multiple caseating granulomas, suggestive of tuberculosis and was started on anti-tubercular treatment also. Continue chemotherapy and ATT on OPD.