Rift valley fever case study one: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Rift valley fever}} | {{Rift valley fever}} | ||
{{CMG}}{{AE}} {{AAH}} | |||
==Patient Presentation== | |||
*A 50 year old male presented to the hospital after he was being treated for [[Malaria|malaria]] from an outpatient clinic.<ref>Kahlon SS, Peters CJ, Leduc J, et al. Severe Rift Valley fever may present with a characteristic clinical syndrome. Am J Trop Med Hyg. 2010;82(3):371-375. doi:10.4269/ajtmh.2010.09-0669</ref> | |||
*Patient reported [[Fever|fever]], weight loss, body aches, [[Anorexia|loss of appetite]], [[Headache|headache]] and generalized weakness. | |||
*He was prescribed anti-malarial treatment (artemether-lumefantrine) from the outpatient clinic. | |||
*No complaints of bleeding from any orifice was reported by the patient at presentation. | |||
==Patient History== | |||
*The patient was a goat herder by occupation and reported living in his house a week before he started experiencing symptoms. | |||
*He denied any ill livestock(goats), but recalled several [[Mosquito|mosquito bites]] during that time period. | |||
*There was no history of similar symptoms in any of his family members or acquaintances. | |||
==Physical Exam== | |||
*Upon presentation to the hospital he had [[Icterus|yellowish discoloration of his eyes]] along with pain in the right upper quadrant of his abdomen. | |||
*On palpation he was found to have [[Hepatomegaly|enlarged liver]] and [[Splenomegaly|enlarged spleen]]. | |||
*There were no signs of joint tenderness or any swelling. | |||
*He had [[Hypotension|low blood pressure]] without [[Tachycardia|raised heart rate]]. Lowest blood pressure recorded was 65/40 mm of Hg which was confirmed by measuring the blood pressure in both arms. | |||
*He also developed erythema in the sub-conjunctival region and began to feel [[Confusion|disoriented]]. | |||
==Diagnostic Approach== | |||
*[[Reverse transcription polymerase chain reaction|RT-PCR test]] was performed on Day-3 of his illness, which came out to be positive. | |||
*[[ Immunoglobulin M|Ig M antibody]] test was done on the same day and also tested positive. | |||
==Management== | |||
*The patient was given supportive care in the form of intravenous fluids. | |||
*Patient improved slowly over the course of five days and his blood pressure improved along with his disorientation. | |||
==References== | ==References== | ||
Latest revision as of 17:48, 16 July 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aakash Hans, MD[2]
Patient Presentation
- A 50 year old male presented to the hospital after he was being treated for malaria from an outpatient clinic.[1]
- Patient reported fever, weight loss, body aches, loss of appetite, headache and generalized weakness.
- He was prescribed anti-malarial treatment (artemether-lumefantrine) from the outpatient clinic.
- No complaints of bleeding from any orifice was reported by the patient at presentation.
Patient History
- The patient was a goat herder by occupation and reported living in his house a week before he started experiencing symptoms.
- He denied any ill livestock(goats), but recalled several mosquito bites during that time period.
- There was no history of similar symptoms in any of his family members or acquaintances.
Physical Exam
- Upon presentation to the hospital he had yellowish discoloration of his eyes along with pain in the right upper quadrant of his abdomen.
- On palpation he was found to have enlarged liver and enlarged spleen.
- There were no signs of joint tenderness or any swelling.
- He had low blood pressure without raised heart rate. Lowest blood pressure recorded was 65/40 mm of Hg which was confirmed by measuring the blood pressure in both arms.
- He also developed erythema in the sub-conjunctival region and began to feel disoriented.
Diagnostic Approach
- RT-PCR test was performed on Day-3 of his illness, which came out to be positive.
- Ig M antibody test was done on the same day and also tested positive.
Management
- The patient was given supportive care in the form of intravenous fluids.
- Patient improved slowly over the course of five days and his blood pressure improved along with his disorientation.
References
- ↑ Kahlon SS, Peters CJ, Leduc J, et al. Severe Rift Valley fever may present with a characteristic clinical syndrome. Am J Trop Med Hyg. 2010;82(3):371-375. doi:10.4269/ajtmh.2010.09-0669