A case of Pyrexia of Unknown origin

Name: Halabasappa Sangayya

Age: 62 yrs/ Male

Religion: Hindu

Occupation: Clerk

Address: Kalwadi, Bijapur District, Karnataka State, India

Chief complaints:

  1. Recurrent episodes of high fever since 3 years.
  • Accompanied by: Rigors, Sweating, Fatigue, Dizziness, Light-headedness, Malaise.

History of presenting illness:

Patient was apparently alright 3 years back after which he developed recurrent episodes of high fever which was acute in onset. The fever was of relapsing type (temperature returns to normal days before rising again) & each episode of fever lasted for about 2-3 days. Fever was accompanied by rigors, sweating, malaise, fatigue, dizziness, & light-headedness. For these complaints he had visited a local doctor and was prescribed paracetamol and antibiotics. But the episodes of high fever with accompanying symptoms kept occuring roughly 3-4 times a year & each episode would last for about 2 to 3 days.

Negative history to rule out Tuberculosis:

  • No history of anorexia.
  • No history of weight loss
  • No history of respiratory infections like sinusitis, tonsillitis, otitis media, pharyngitis).
  • No history of cough.

Past history:

No previous history of similar illness.

No history of surgical operations in the past.

No previous history of blood transfusion.

No history of allergies.

Family history:

No history of similar complaints in the family.

No family history of lymphoproliferative diseases.

No family history of cancer.

Drug history:

Paracetamol and antibiotics given by a local doctor.

No other drug history.

Differential diagnosis based on history:

  •  Brucellosis: Can cause fever, chills, fatigue, weakness, backache, & myalgia. Also causes Hepatospleenomagaly, lymphadenopathy, arthritis, bursitis, sarcoilitis. 
  • HIV: Can cause unexplained persistent fever.
  • Malaria
  • Lymphoma
  • Pyogenic infection

Exciting Car Showdown 2012 Nagoya Coverage…Part 2 of 2…

The Chronicles© - No Equal Since 2008 | www.stickydiljoe.com

Here we go with the second portion of our Exciting Car Showdown coverage from Nagoya, Japan. As I said yesterday, I was lucky enough to stumble upon these photos and even more fortunate that the person that shot them, Takahiro Kawamura, let me post them up here on The Chronicles. There was a wide variety of different builds at this event, but the most talked about had to be the Toyota Celica with the ridiculous -15 degrees of camber and a wheel that only had a 215-wide tire beaded to 1/3 of it. If anything, it was definitely the most controversial car that we have seen come out of Japan in quite some time. If you are wondering, yes the car is functional, depending on your definition of function. “Function” in this sense means that the car actually rolls and drives on the street. The owner drove the car all…

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Review : The Summer of Skinny Dipping

The Summer of Skinny Dipping by Amanda Howells
Pages : 295
Genre : YA, Fiction
Stand Alone
My Rating : 

What it’s about :

Mia couldn’t be more excited to be spending her summer in the Hamptons with her family; she loves the beach and the sea, and she has always been close to her cousin Corinne. She envisions a summer of fun, secrets and laughs… until she gets there and realize her cousin has changed since the last time she saw her. Stuck with Corinne, her sister and her friend, whose snobby attitude makes her more self-conscious than ever, Mia tries to accept that her summer won’t be as she had hoped.

Then she meets Simon, their summer neighbor. Though she’s at first unsure of him, their walks under the moon allow her to trust him, and their friendship quickly turns into something more…

My Thoughts :

It’s been said…

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