Hematology Case 47
Hematology Case 47
Embedded Files
Presented By Dr Mohammad Moharram
Released on 1-1-2021Patient Data
Patient Data
35 year old male
Clinical Data
Clinical Data
History: High grade fever for 7 days.
Mild cough
Chronic epigastric pain that became acute and severe 2 days ago.
History of travel to India.
On Examination : Temperature: 39.5°C
Yellowish sclera.
Clear chest on examination.
Soft lax abdomen / No tenderness.
Related Laboratory Results
Related Laboratory Results
CBC:
- WBC: 4.8x103 /uL (Neutrophils: 3.8x103 /uL - Lymphocytes: 0.4x103 /uL - Monocytes: 0.2x103 /uL - Eosinophils: 0.3x103 /uL - Basophils: 0.06x103 /uL).
- HGB: 12.2g/dL - MCV: 83.3fL -MCH: 28.6 pG - MCHC: 34.4%
- Platelet: 27x103 /uL
Amylase and Lipase : Normal.
Total bilirubin : 45 umol/L (R.R.: 5.1-20.5) - Direct bilirubin: 15.7 umol/L (R.R.: 1.7-8.6)
ALT: 70 u/L (R.R.: 17-63) - ALP: 100 u/L (R.R.:30-91) - GGT: 110 u/L (R.R.: 7-50) - ALB: 24 g/L (R.R.: 35-50) .
Negative PCR swab for COVID-19
Provisional Diagnosis
Provisional Diagnosis
Fever + Cough + lymphopenia ; suspected case of COVID-19
Case Picture(s) / Photo(s)
Case Picture(s) / Photo(s)
Thick Peripheral Blood Smear (Giemsa)
Thin Peripheral Blood Smear (Giemsa)
Comment / Findings
Comment / Findings
Thick peripheral blood smear show gametocyte stage of plasmodium vivax
Thin peripheral blood smear show gametocyte stage , schistocyte stage and ring form stage of plasmodium vivax.
Final Diagnosis
Final Diagnosis
A case of malaria vivax (plasmodium vivax)
Additional Note
Additional Note
Patient responded dramatically to anti malarial treatment and laboratory tests normalized after 6 days of therapy.
Post therapy laboratory results: -Platelet: 163x103 /uL - Total bilirubin : 19 umol/L (R.R.: 5.1-20.5) - Direct bilirubin: 4.9 umol/L (R.R.: 1.7-8.6) - ALT: 22 u/L (R.R.: 17-63) - ALP: 47 u/L (R.R.:30-91) - GGT: 22 u/L (R.R.: 7-50) - ALB: 30 g/L (R.R.: 35-50) .
Google Sites
Report abuse