6. Case history
A 25 years old man student.
Lives in area of low vicinity.
Comes to hospital with complaints of
malaise, myaglia, headache and fever of
4 days duration.
He had an abrupt onset of coldness and
chills followed by 1 hour, later by a high
fever, headache, nausea and vomiting.
7. The episode of chills and fever lasted
about 24 hours after which he became
asymptomatic.
Fever: 103 F
WBC count: 3300 cells/mm3
(4-11000cells/mm3)
Abdominal pain
9. malaria Typhoid
• Intermittent fever • Enteric fever
• Abdominal pain is in the left • Abdominal pain is in the overall
upper quadrant. belly.
• Headache is usually acute and
lasts for the whole duration of • Headache is usually dull.
illness.
11. Symptoms of
dengue
•The time between the exposure and onset
of symptoms ranges from 3 to 14 days, but
most often it is 4 to 7 days.
• Fever
• Headache
• Myalgia ( Muscular or bone pain)
12. • Nausea and vomiting
• Loss of appetite
• Increased sensation to touch
• Change in taste sensation
• Red and white patchy rashes
• Bleeding from gums and nose
• Decrease in platelet count (Thrombocytopenia)
13. Case history
A 23 year old man
Comes to hospital with high grade
fever, vomiting, severe back
pain, body pain, bleeding from gums
and nose
Total platelet count: 69000 per
microlitre
(150,000-450,000 per microlitre)
14. He was treated with dextrose solution
with multivitamin
syrup, Paracetamol, Dompreidone and
papaya juices.
