1 Case report</h5> A 34-year-old male presented with history of fever with chills for 20 days later in the month of August. There was associated history of vomiting and abdominal pain for 7 days and shortness of breath for last 4 days. No history of chest pain, palpitation, or any other cardiac symptoms were present.</P>The general examination showed increased pulse rate (96/min) and blood pressure (100/60). The cardiovascular and respiratory system examination did not reveal any basal creps, wheeze, or any other specific abnormality. The patient was conscious and febrile. A clinical diagnosis of leptospirosis versus dengue was suspected. On investigations, patient had anemia, 10.7 gm% (normal 140–160 g/L) and thrombocytopenia, 20,000/L (normal: 150–400 × 10 9 /L) with lymphocytosis in the differential count (50%). The liver enzymes serum glutamic oxaloacetic transaminase and serum glutamic-pyruvic transaminase were 238.97 (normal: 2–41 U/L) and 106.03, respectively (normal: 2–40 U/L), and serum bilirubin was high 8.89 mg% (normal: 0–1 mg%). The D-dimer was positive, but the serology for dengue and leptospira was negative. Ultrasound of abdomen showed mild hepatosplenomegaly. The patient was treated symptomatically for dengue, and Septran was given for leptospirosis; however, he succumbed to his illness on the third
Diagnostic Microbiology and Infectious Disease – Elsevier
Published: Jan 1, 2014
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