Bilateral Cervical Lymphadenopathy Atypical Presentation of Malaria-A Rare Case Report

Autor: Dwijen Das, Kallol Bhattacharjee, Surinder Ghintala, Amit Kr Kalwar
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Journal of Clinical and Diagnostic Research, Vol 11, Iss 4, Pp OD08-OD09 (2017)
Druh dokumentu: article
ISSN: 2249-782X
0973-709X
DOI: 10.7860/JCDR/2017/23352.9608
Popis: Malaria, the most common parasitic disease of humans, remains a major health and economic burden in most tropical countries. An 18- year-old male from rural north eastern India presented with four days fever with chill. The patient was conscious, oriented but confused. Physical examination revealed bilateral multiple, discrete cervical lymphadenitis without organomegaly or sternal tenderness. Blood parameters were normal except transient thrombocytopenia. Blood smear and antigen were positive for both Plasmodium vivax and falciparum with negative viral markers. Fine Needle Aspiration Cytology (FNAC) of cervical lymph nodes showed non-specific reactive lymphadenitis which subsided with antimalarial treatment. Lymphadenitis is an extremely rare presentation in malaria and is considered as an important negative finding. We reported this case to highlight that such unusual manifestations may present in malaria in endemic areas which may baffle the clinicians.
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