Name: Halabasappa Sangayya
Age: 62 yrs/ Male
Religion: Hindu
Occupation: Clerk
Address: Kalwadi, Bijapur District, Karnataka State, India
Chief complaints:
- 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
nischalhegde 