CASE REPORT:
A 56-year-old male presented with a 3 days history of intermittent fever
with associated non-productive cough. The fever temporarily subsided on
taking medications. The patient also had headaches described as,
generalized, pricking, and continuous. He has no history of syncope,
palpitations, chest pain, shortness of breath, or any cardio-pulmonary
symptoms. The patient is diabetic, hypertensive, and non-compliant with
medications. The patient does not have a family history of sudden
cardiac death or any cardiac diseases. He has no significant past
medical or surgical history. This case has been reported in line with
the SCARE criteria (4)..
On physical examination, the patient was febrile (102.7F), and
tachycardic, otherwise, the findings were unremarkable. The laboratory
findings showed positive for Dengue NS1 antigen and IgM , with a
platelet count of 187× 103 /μL.
The patient was admitted and managed with intravenous fluids,
broad-spectrum antibiotics, and acetaminophen. On the evening of
admission, the complete blood count was repeated, showing a platelet
count of 29 × 103 /μL, hematocrit 45.4%, hemoglobin
15.8g/dL, WBC 8.24 × 103 /μL, and lymphocytes 60.2%
with suspected thrombocytopenia, large immature cells, and atypical
cells. On day 2 of admission complete blood count showed a platelet
count of 26 × 103 /μL, hematocrit 42.6%, hemoglobin
14.8g/dL, WBC 8.56× 103 /μL, and lymphocytes 65.2%
with suspected thrombocytopenia, lymphocytosis, and large immature
cells. Serum electrolytes, urea, and creatinine were all within the
normal range.