(?)VIRAL PYREXIA WITH THROMBOCYTOPENIA
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A 14 year old female patient came to the casualty with C/O:
Fever since 2 days
Vomitings (3 episodes)
HISTORY OF PRESENT ILLNESS:
The patient was apparently asymptomatic 2 days back then she developed fever which was high grade, intermittent associated with vomitings - 3 episodes (immediately after taking food) which were non-bilious, non-projectile. She was taken to a RMP doctor and was given Tab. Paracetamol after which temperature touched baseline. Later when the fever didn't subside they went to a local hospital where she was tested for NS1 Antigen which turned out as weakly positive after which she was given
1)Inj. Arteether(2amp)
2)Tab. Cefpodoxime Proxetil and
3) Tab. Dolo 650mg after which the symptoms subsided for a while. CBP was done in which the platelet count revealed to be 64000/cumm. Later she had another episode of vomiting after which she was brought to our hospital.
HISTORY OF PAST ILLNESS:
No H/O rash, malena, bleeding manifestations
Not a K/C/O DM, HTN, Epilepsy, Asthma, COPD
FAMILY HISTORY:
H/O Hypertension in the family (Grandfather)
PERSONAL HISTORY:
Diet - Mixed
Appetite - Lost
Bowel and Bladder - Normal
Micturition - Normal
No Addictions Present
GENERAL EXAMINATION:
Patient is conscious coherent and co-operative healthy built and well nourished
No Pallor, Icterus, Cyanosis, Clubbing, Lymphadenopathy, Edema.
Vitals:
BP: 140/100mmHg
PR: 88bpm
SpO2: 98%@RA
RR - 20cpm
SYSTEMIC EXAMINATION:
CVS: S1, S2 heard, No murmurs
RS: BAE present, NVBS heard
P/A: Soft, Non-tender, No organomegaly
CNS: NAD
DIAGNOSIS: (?) VIRAL PYREXIA WITH THROMBOCYTOPENIA
FEVER CHART:
INVESTIGATIONS:
23/04/2022:
HEMOGRAM
LFT:
RFT:
CHEST X-RAY:
ECG:
HIV 1/2 Rapid Test: Non-Reactive
HBsAg Rapid : Negative
Anti HCV antibodies: Non-Reactive
TREATMENT GIVEN UNTIL NOW:
1) IVF NS&RL @100ml/hr
2) Inj. Optineuron 1amp in 100ml NS IV/OD.
3) Inj. Zofer 4mg IV/SOS
4) Inj. Pan 40mg IV/OD
5) Inj. PCM 1gm IV/SOS
