Rift valley fever case study one

Rift valley fever Microchapters
Home
Patient Information
Overview
Historical Perspective
Pathophysiology
Causes
Differentiating Rift valley fever from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Rift valley fever case study one On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Rift valley fever case study one All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Rift valley fever case study one
CDC on Rift valley fever case study one
Rift valley fever case study one in the news
Blogs on Rift valley fever case study one
Directions to Hospitals Treating Rift valley fever
Risk calculators and risk factors for Rift valley fever case study one

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.
• 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.