Investigatons | Case Report 1 | Case Report 2 | Case Report 3 |
FBC PCV | 29% | 30% | 30% (At admission) 19% (one week after) 27% (post transfusion) |
WBC DIFFERENTIALS |
7 × 109/L Neut. 57% Lymph. 29% Mono. 7% Eosino. 7%
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3.7 × 109/L Neut. 45% Lymph. 42% Mono. 7% Eosino. 5% Baso. 1% | 2.95 × 109/L Neut. 44% Lymph. 30% Mono. 21% Eosino. 5%
225 × 109/L |
PLATELETS
BLOOD FILM
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336 × 109
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216 × 109
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| RBC: Severe hypochromia with microcytic and macrocytic cells, few normocytes seen WBC: white cells appear reduced in film. Neut show left shift to band forms. PLATELETS: Anisocytosis IMPRESSION: Sepsis? r/o bacterial, viral Severe anaemia likely nutritional (fe or vit b₁₂) |
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| Blood negative Urobilinogen positive Bilirubin: positive Protein: negative Nitrite: positive Ketones negative: Ascorbic acid: negative Glucose :negative PH: 6 |
URINALYSIS
| Blood negative Urobilinogen negative: Bilirubin: positive Protein: negative Nitrite: negative Ketones negative: Ascorbic acid: negative Glucose: negative PH: 6 | Blood negative Urobilinogen negative: Bilirubin: positive Protein: negative Nitrite: negative Ketones negative: Ascorbic acid: negative Glucose: negative PH: 7 | 1st 2nd Na: 132 132 K: 4.2 4.6 Bicarb: 23 18 Urea: 3.6 3.5 Cr: 60 50 |
E/U/Cr(mmol/l) | 1st 2nd Na: 140 140 K: 4.2 2.7 Urea: 2.5 1.5 Bicarb: 23
| Na: 136 K: 3.7 Bicarb: 27 Urea: 2.1 Cr: 85 | T.B: 7 umol/l C.B: -- AST: 81 U/L ALT: 48 U/L ALP: 170 U/L γGT: 214 U/L Total Protein: 83 g/l Albumin: 27 g/l |
Abdominal scan | USS: enlarged liver 16.31 cm in craniocaudallenght. No intra/extra hepatic biliary/vascular channels dilatation. No mass seen.
Trophozoites of P. Falciparum |
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| Trophozoites of P. Falciparum
RVS: seronegative HbsAg: negative HCV: negative |
Blood film for M.P | ------------- | Trophoites of P. Falciparum seen + |
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