Discussions By Condition: I cannot get a diagnosis.

Acute Fever of unknown origin, polyarthritis and thrombocytopinia ???

Posted In: I cannot get a diagnosis. 0 Replies
  • Posted By: goelvaibhav
  • August 13, 2008
  • 05:47 PM


My father (56yrs) has been suffering from Fever since 10 days associated with severe PolyArthralgia, Myalgia.
Diagnosed DVT in left calf vein with no pulmonary embolism.
Icterus since 2 days.
No comorbid illness.
Lab Findings:

Thrombocytopenia (platelet 110lac)
Rising WBC Count (from 10000 to 27000 in last 3 days), Neutrophilia
Raised CRP
Normal PCT Level
Serum bilirubin level (5.4 mg%, direct 4.8 mg%)
Normal Liver enzyme
All viral studies (chikungunia, hunta, hepatitis, leptospyra, brucella)
Collagen studies and rheumatic workup normal
Basal atelectasis on CXR
Fundoscopy - Cottonwool spots on retina
Blood culture awaitedTreatment given:

Tablet Falcigo x 7 days
Doxy x 7 days
Ceftriaxon x 3 days
SOS Antipiratic analgesicSo far no confirmed diagnosis achieved and fever spikes becoming more frequent and on increasing grade (upto 39 degC).

Please help!!!

Vaibhav Goel

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