MALARIA PRESENTING WITH HYPOGLYCAEMIA

Dr.Seenaj
36 YR OLD PRESENTED TO MEDICAL OPD WITH H/O 2 DAYS FEVER MALAISE NAUSEA AND MILD SWEATING. INV REVEALED RBS OF 68 PLT 90 K TC OF 11000.O/E B/L COARSE CRACKLES ON CHEST AND TIP OF SPLEEN WAS PALPABLE. HE IS A ENGINEER BY PROFESSION IN BOTSWANA SINCE LAST 8 YEARS.& PAST HISTORY NOTHING SIGNIFICANT. HE TURNED OUT TO BE FALCIPARUM MALARIA POSITIVE AND DEVELOPED ARDS IN 3 RD DAY ASSOCIATED WITH SEVERE SEPSIS AND WAS SUCESSFULLY DISCHARGED AFTER 2 WEEKS OF STORMY HOSPITAL COURSE

Message
HYPOGLYCAEMIA CAN BE A PRESENTING SYMPTOM EVEN IN MALARIA

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Tags: Medicine