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Prokopenko Victoria

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Diagnosis
Congenital combined (T- and B-cell) immunodeficiency with immunodysregulation
Date of birth
born 03.03.2011
Place of residence
Odessa

Vika Prokopenko is only two years old, but she has already undergone three complex surgeries, clinical death, and intensive care. The child was diagnosed with — congenital combined (T- and B-cell) immunodeficiency with immunodysregulation. This is a rare genetic disorder.

Children with a diagnosis like Vika's live no more than 1-2 years without treatment. The only chance of saving Vika's life is a bone marrow transplant. The cost of the transplant and the preparatory treatment — is 186 685 euros. One private foundation from Austria, on condition that the operation is carried out in that country, has given a letter of guarantee for 80 000 euros. The rest of the money has to be raised by 7 July 2013.

Immediately after birth, the girl felt well, with an Apgar score of  8 (the Apgar score is a rapid assessment system for newborns). In —  most newborns, the Apgar score is 1 minutes after birth, according to  7-8 . At month, the baby received the BCG vaccine (a Danish vaccine), and after some time, her body gradually began to malfunction. At the vaccination site, an ulcer developed and suppurated.

Vika was referred for an X-ray and a consultation with a TB specialist, who prescribed an anti-TB drug. After liver function tests, — she was referred to the hospital with suspected hepatitis. While undergoing antibiotic treatment, she developed loose stools and a rash all over her body. She began to lose significant weight. Vika and her mother were admitted to the Odessa City Children's Clinical Hospital No.     1 named after Academician B. Ya. Reznik with a swollen abdomen and very poor blood counts. At the   hospital, the child was prescribed prednisolone and dexamethasone injections, and IVs with rheosorbilact and glucose. The girl began to recover, standing on her feet, but her test results were still abnormal within normal limits. Doctors warned that further examination and determination of the cause of these abnormal results were necessary.

After prolonged treatment, Vika began to show weakness and lethargy, becoming even more pale, depressed, and cranky. The immunologist prescribed a series of tests, and after — antiviral therapy and suppositories. After these medications, the child's temperature rose, and the girl was admitted to the cardiorheumatology department. After the therapy, the child began to feel somewhat better, and Vika and her mother were sent home.

At home, the child's fever rose again, and nothing could bring it down. So the girl ended up back at the  Regional Children's Hospital, in the same department, but with a cardiorheumatologist. The results were even more shocking: hemoglobin — 40, ESR — 80, the child was terribly pale and lethargic. The doctors recommended a sternal puncture, and according to the results, the bone marrow was not functioning properly. Vika was transferred to the oncohematology department, where they performed a second puncture and sent her to Kyiv for a more precise diagnosis. The results were encouraging: the bone marrow had grown a new growth, but there was not enough blood in the blood, and she needed a blood transfusion. There were not enough cells in the blood, and she needed a blood transfusion.          

After the blood transfusion, the child's tummy swelled even more, and the child was transferred to the intensive care unit. They performed surgery, during which it was discovered that Vika «the intestines had rotted» 50 . Afterward, the intensive care team fought for Vika's life. Gradually, her blood counts began to rise and the baby was transferred to the surgical department, but the axillary lymph node under the vaccination site soon swelled. Vika was referred to the Odessa Regional Tuberculosis Dispensary for examination. After the examination, — anti-tuberculosis treatment was prescribed, otherwise the BCG would spread to her entire body. It was recommended to urgently go to Kyiv. At the Kyiv clinic «Okhmadet» the girl underwent a second surgery.

The doctors concluded: Sepsis. Primary combined immunodeficiency. Complicated BCG vaccination in the form of an ulcer on the left shoulder.

The parents with the child returned to Odessa and continued treatment at the Regional Children's Clinical Hospital. Between 6 and 7 February 2013 the baby suffered clinical death, which lasted 20 minutes. It's hard to describe what little Vika's parents had to endure, but they didn't give up, fought for their girl's life, and searched for clinics that could help their child. They contacted the State Institution «Republican Scientific and Practical Center for Pediatric Oncology, Hematology, and Immunology» Ministry of Health of the Republic of Belarus, where a third operation was performed and a final diagnosis was made: Combined (T- and B-cell) immunodeficiency with immunodysregulation. A panel of doctors prescribed BMT.

As of the child, after an examination and preparatory treatment conducted at the Children's Oncology Center of the Republic of Belarus, is currently in Odessa in the oncohematology department of the Regional Children's Clinical Hospital at address: Ak. Vorobyova St., 3.

The terrifying reality — the child's life directly depends on a huge pile of money! Vika's parents simply don't have that kind of money and they have nowhere to get it! Vika's parents are turning to all kind and compassionate people for help and thank everyone who participated in saving the life of their daughter. All their efforts are focused on fundraising, but, unfortunately without the help of caring, kind people, they cannot cope.

Vika's parents believe that there are many such people and together we can help the child! We will be very grateful for the assistance provided.

Thank you to the advertising agency «Beaumonde» for their ongoing assistance in placing social advertising. Since 1 May 2013 in Odessa, billboards have been installed with information about Vika.