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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Android this week: Galaxy Tab 2 launches; MotoActv wows; Amazon supports freemium;


Samsung hasn’t ceded the small slate market to either the Kindle Fire(s amzn) or Nook Tablet(s bks) just yet. Although these two 7-inch slates are gobbling up market share for low-cost tablets, Samsung launched its Galaxy Tab 2 this week. The $249 Wi-Fi tablet certainly has some better hardware over its competitors but the real question is: Can it provide the experience people are looking at this price?

That’s going to depend on exactly what experience consumers are looking for. With Android 4.0(s goog), dual-core processor, two cameras and integrated GPS, the Galaxy Tab 2 is a low-cost Android tablet with few limitations. It can run any third party app from Google Play, take and sync pictures or be used as a GPS navigation device. The Kindle Fire and Nook Tablet are far more limited in what they can do out of the box but what they can do…

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Say goodbye to search and hello to BrainSpace


PureDiscovery, a Dallas-based big data startup, thinks it has the has the answer to outdated enterprise search technology, and it’s called BrainSpace. The company claims BrainSpace can learn just about everything about how pieces of content are related to one another. That means users will become less dependent on searching for information because the platform will feed them what they want to know as they interact with other content.

One could characterize BrainSpace as just another semantic search technology, PureDiscovery CEO Dave Copps told me, but they’d be wrong. Whereas many of those technologies rely on linking together pieces of data within specific indexes using industry-specific ontologies, BrainSpace doesn’t try to index data at all. It cares that documents contain similar words or concepts, but it also cares about a lot more.

It’s trying to create something more like a semantic brain. “We want to create an environment that…

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Solving the LTE Puzzle: Comparing LTE Performance


After Verizon’s (s vz) early adoption of LTE gave the carrier a commanding 2011 lead in the battle for data speed supremacy, things are heating up considerably in 2012. AT&T (s t) is aggressively rolling out its own LTE service, Sprint has promised LTE later this year, and T-Mobile isn’t far behind. At the moment, though, AT&T and Verizon command the data speed battlefield.

We’re testing carrier coverage across the country to give consumers a real-world look at mobile data performance. As part of this ongoing process, we extensively measured performances across multiple LTE markets during the first quarter of 2012 and have put together a head-to-head comparison of AT&T and Verizon based on these results. Using off-the-shelf phones, we tested both indoors and outdoors during driving, at day and at night, ultimately generating more than 50,000 data tests.

As our tests show, just because a carrier advertises a market…

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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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Game time: Oracle, Google set to face off over Android


On Monday, Google will finally get a chance to defend Android–the leading mobile operating system in the world, the linchpin of its mobile strategy and a lightning rod for criticism–in open court against those who charge Google has stolen its way into the smartphone market, as Oracle’s lawsuit against the company finally comes to trial. Here’s what you need to know:

What’s all this, then? Well, my British-sounding friend, this is where we stand nearly 20 months after Oracle first filed a patent suit against Google, alleging that the Dalvik virtual machine used in Android infringed on Sun Microsystems patented technology. Sun had developed Java and later sold itself to Oracle. That part of the case hasn’t gone exactly how Oracle had hoped: of the seven patents it originally asserted against Google in August 2010, only two will be argued before Judge William Alsup in the U.S. District Court…

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