Does anyone know what is causing these symptoms? Case Study 1 Monday, March 6, 2

Question

Does anyone know what is causing these symptoms?

Case Study 1

Monday, March 6, 2017

BUZZ, BUZZ! Oh, what terrible timing. Tom was in the middle of setting up an experiment in lab when his phone indicated that he had a voicemail from his 3-year-old's preschool. He finished up his immediate task and checked his messages. The preschool teacher was calling to let him know that his son, Theo, had a fever of 101.7°F and that he didn't seem to be feeling well and needed to be picked up early. Tom sighed and said he would be right there. He went back into lab, diluted back his bacterial culture, put it in the incubator, and decided to do the experiment tomorrow. When he drove to preschool and picked up Theo, he noticed Theo was lethargic and sad. Tom knew that kids get all sorts of random illnesses, so he took Theo home to see if he could figure out if anything else was wrong. Because Theo was 3 years old, he was able to tell his Dad that his throat hurt a lot as he kept rubbing his throat. Theo didn't seem any to be getting any worse, so everyone went to bed. In the middle of the night, Theo wakes up to vomit (repeatedly) and complains of stomach pain.

Tuesday, March 7, 2017

After a night of not very much sleep, Tom checked Theo's temperature again and saw that it was still high. Now he saw that Theo's cheeks were flushed and there was a rash consisting of pink, slightly raised bumps (no pustules) covering his cheeks, chest, and back. Tom placed a call to the pediatrician to set up an appointment for later that morning

Explanation / Answer

Name of the patient - Master Theo

Age - 3 years

Complaints of high fever 101.7°F

Symptoms shown are - Fever, throat pain, vomiting, stomach ache, lethargy, pink rashes all over cheeks, chest and back.

With the existing symptoms and the clinical presentation of the patient,

Provisional diagnosis - Fever with thrombocytopenia.

After undergoing the investigation - CBC, Serum.electrolyte, Rapid Dengue test, We can conclude whether it is Viral or Dengue fever

( Rashes can be due to low platelet count which is commonly seen in dengue fever also in some cases in viral fever too, so the test is mandatory to confirm whether it is dengue or viral fever

Gastritis is common in dengue fever also in viral fever, which explains vomiting and stomach ache. The vomiting causes a loss of electrolytes from the body resulting in lethargy and weakness )

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