Introduction: A 4 month- old- baby girl, 1st born to non-consanguineous marriage, immunized for age, was brought with complaints of progressive pallor for 2 weeks, low grade fever for 1 week and increased irritability. There was no history of cough, cold, poor feeding, bleeding, jaundice or blood transfusion. There was no family history of any hematological disorders. On examination she had severe pallor, tachycardia, spleen was palpable 6 cm below left costal margin and liver 5 cm below right costal margin but there was no icterus or lymphadenopathy. Her hematological parameters were: Hemoglobin 4.2 gm/dl, Total leucocyte count 138,000/mm3, with differential leucocyte count showing Polymorphs 23%, Lymphocyte 63%, Monocyte 9%, Eosinophil 5% and Platelet 336,000/mm3.