International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 1, Issue 5 (2015)

A college student with fever and reflective jaundice: A case report


Prabhusaran N, Sundhararajan A, Asirwatham Alwin Robert, Syed Mohideen, Natarajaseenivasan K, Joseph PID

A 19 year old male student resides in Pudukkottai town of India and studying in private college nearby presented with high grade intermittent fever, abdomen pain for 3 days, yellow coloration of the eyes and dark yellow irritated urination for two days. On interview, no history of surgery or hospital admission of transfusion identified. No history of travel and contact with animals. On examination he appeared acutely ill, icteric and severe febrile (40.2 oC). No observation of rashes or lymphadenopathy. The liver tenderness of about 15cms was identified. Elevated liver markers identified but serum urea level is normal. CBC determined thrombocytopenia and leucopenia especially neutropenia noted. HIV screening was non-reactive and urine bacteriology showed negative. Further, the febrile state was identified with the knowledge of medical scientist as leptospirosis by ELISA, MAT and EMJH culturing. Then the patient was admitted and benzyl penicillin 1.5 million units IV and Doxycycline 100mg PO bid was given to patient; further Jarisch-herzheimer reactions reported then the patient was administered with intravenous Ceftriaxone. He recovered completely and dehospitalized on 6th day admission.
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How to cite this article:
Prabhusaran N, Sundhararajan A, Asirwatham Alwin Robert, Syed Mohideen, Natarajaseenivasan K, Joseph PID. A college student with fever and reflective jaundice: A case report. International Journal of Medical and Health Research, Volume 1, Issue 5, 2015, Pages 07-09
International Journal of Medical and Health Research