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  • History of The Patient: - 47 Year Old Man From Endemic Area For Dengue - Waiter in A Local Restaurant - Presented With

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    Juan Harsha
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    A 47-year-old man from an endemic area presented with high fever, headache, body aches, and fatigue for 6 days. Tests showed thrombocytopenia, a positive IgM test for dengue and leptospirosis, and a positive MAT test for leptospirosis on the 8th and 25th day of illness. A blood smear also showed Plasmodium vivax, confirming a diagnosis of malaria. Dengue was ruled out as a diagnosis due to the prolonged fever, lack of leukopenia or hemoconcentration, and possibility of cross-reactivity on the IgM test between dengue and other illnesses like malaria and leptospirosis.

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    medical case report on a renal failure

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    Case Report 4 New

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    A 47-year-old man from an endemic area presented with high fever, headache, body aches, and fatigue for 6 days. Tests showed thrombocytopenia, a positive IgM test for dengue and leptospirosis, and a positive MAT test for leptospirosis on the 8th and 25th day of illness. A blood smear also showed Plasmodium vivax, confirming a diagnosis of malaria. Dengue was ruled out as a diagnosis due to the prolonged fever, lack of leukopenia or hemoconcentration, and possibility of cross-reactivity on the IgM test between dengue and other illnesses like malaria and leptospirosis.

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    5 views2 pages

    History of The Patient: - 47 Year Old Man From Endemic Area For Dengue - Waiter in A Local Restaurant - Presented With

    Uploaded by

    Juan Harsha
    A 47-year-old man from an endemic area presented with high fever, headache, body aches, and fatigue for 6 days. Tests showed thrombocytopenia, a positive IgM test for dengue and leptospirosis, and a positive MAT test for leptospirosis on the 8th and 25th day of illness. A blood smear also showed Plasmodium vivax, confirming a diagnosis of malaria. Dengue was ruled out as a diagnosis due to the prolonged fever, lack of leukopenia or hemoconcentration, and possibility of cross-reactivity on the IgM test between dengue and other illnesses like malaria and leptospirosis.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 2

    HISTORY OF THE PATIENT

    Dengue
    • 47 year old man from endemic area
    for dengue • Positive IgM
    • Waiter in a local restaurant • Thrombocytopenia ( 67
    × 109/L)
    • Presented with,
    - high grade fever(with rigors of 6
    days) Leptospirosis
    - throbbing headache
    • Positive IgM dipstick
    - periorbital pain test
    - generalized body ache • Positive MAT On 8th and
    - myalgia 25th day of illness
    - fatigue
    - anorexia
    - No any bleeding tendencies or Malaria
    skin rash
    - No significant past medical • Positive blood smear for
    history OR travel history. Plasmodium vivax
    Differential Diagnosis

    Dengue
    Malaria Leptospirosis

    Why it is not dengue ?

    • Protracted febrile phase lasting beyond one week


    • Absence of leucopenia and hemoconcentration
    • Dengue IgM level can remain elevated for several months after exposure
    • Dengue IgM test can cross react with nonflavivirus such as malaria, leptospirosis,
    toxoplasmosis, syphilis.

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