Annals of Tropical Medicine and Public Health
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CASE REPORT
Year : 2017  |  Volume : 10  |  Issue : 4  |  Page : 1054-1057

Fever with rash: A rare complicated case of measles with thrombocytopenia


1 Classified Specialist (Dermatology), Classified Specialist (Medicine) and Commandant, Military Hospital, Ahmedabad, Gujarat, India
2 Senior Advisor (Medicine and Nuclear Medicine), Command Hospital, Pune, Maharashtra, India

Correspondence Address:
Gautam Kumar Singh
Military Hospital, Ahmedabad - 380 003, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ATMPH.ATMPH_526_16

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Background: Fever with rash is a diagnostic challenge for treating physician. Careful illustration of history, clinical examination and judicious investigations are essential for managing such case. Case Report: A 35years old soldier, presented with intermittent high grade fever associated with dry cough, difficulty in swallowing, vomitings, watery loose stools and high coloured urine of seven days duration. Examination revealed temperature of 1030 F, tachycardia, pharyngeal suffusion, conjuctival congestion, petechial rash, distended mildly tender abdomen and decreased air entry in both the lung fields. The laboratory investigations revealed leucopenia, thrombocytopenia, mild shift to left with toxic granules, deranged LFT, Chest X-ray showing pulmonary oedema and IgM Ab for measles was positive. He was promptly managed with supportive therapy. Conclusion: Measles with pulmonary oedema, features of SIRS, thrombocytopenia is very.


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