Open AccessUNCOMMON PRESENTATION OF A COMMON DISEASE AS PUO
Author(s) -
Y. V. S. Prabhakar,
Ponnaganti Vasundhara
Publication year - 2020
Publication title -
indian journal of applied research
Language(s) - English
DOI - 10.36106/ijar/0811736
Subject(s) - chills , pancytopenia , hepatosplenomegaly , medicine , gametocyte , malaria , physical examination , bone marrow , bone marrow examination , peripheral blood , presentation (obstetrics) , plasmodium falciparum , surgery , pediatrics , disease , pathology
We report a case of pyrexia of unknown origin in a 35 yr old male . He presented to us with fever since 2 months which was associated with chills and rigor . He is non alcoholic , non smoker . Mild Hepatosplenomegaly was found on initial physical examination. Before he was referred to our hospital, he was investigated in outside hospital . The serial Rapid Diagnostic Test and microscopic peripheral blood smears for plasmodium were negative . He was treated symptomatically . In view of non subsiding fever patient was referred to higher centre . He presented to our institute for further evaluation . His laboratory findings found pancytopenia. Bone marrow aspiration(BMA) was done. BMA showed Gametocytes of P. falciparum. The presence of gametocytes of P.Falciparum in the bone marrow ,not in peripheral smear and presenting as PUO is rare .