Hematology Case 11

Presented By Dr Mohammad Moharram

Released on 01-05-2019

Patient Data

42 year female

Clinical Data

Fever , Rigors & chills.

Left gluteal abscess. Fever , Rigors & chills remain after surgical treatment of the abscess and complete healing occurred.

There’s history of travelling to Yemen one and half month ago.

Related Laboratory Results

WBC: 3.62X10^3/uL.

(Neutrophils: 0.9 - Lymphocytes:2.3x10^3/uL)

HGB: 12.2 g/dL.

Platelet: 116 x 10^3/uL

AST: 97 IU/L (R.R.: 0-32)

ALT: 90 IU/L (R.R.: 0-33)

GGT: 225 IU/L (R.R.: 5-36)

Negative Blood Culture.

Negative Widal and Brucella tests.

Provisional Diagnosis

Fever of unknown origin

Case Picture(s) / Photo(s)

Thin Blood Film

Thick Blood Film

Comment / Findings

Both thin and thick blood films show ring stage and banana shape gametocytes of plasmodium falciparum.

Final Diagnosis

Malaria Falciparum.

Additional Note

Complete clinical recovery is obtained after anti malaria treatment.