Mteeve

Dr. Fatemeh Kourkinejad

Innocent Salvation

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Polycythemia, Meningitis & Malaria

Patient is male.
28yrs.
Wt 78kgs
Ht 1.67m
BMI 28 

COMPLAINTS:
Severe headaches x  5 days. 

Bs for malaria was positive last week. Treated with p-alaxin and got well. However, the headaches have persisted (frontal headaches). Associated with blurry vision, mild neck pains and alot of photophobia.

During treatment of malaria he frequency and  polydipsia but this has since resolved after taking the antimalarials. 

Other Labs : FBS, RBS and Urine Analysis were normal. 

Yesternight client was worse. Severe headaches and photophobia not responding to IV tramadol on any NSAIDS. 

Client was started on IV Rocephine 2gm bid and IV gentamicin 80mg bid emperically for meningitis 24hrs ago. 

Today Complete blood count showed:
Increased WBC 15, HB 20.1 NEU 10.7, MCH 36.7, MCHC 43.5 
Reduced RDW-SD at 31.6 and RDW-CV 11.1 . 

CURRENTLY

No headaches. 
No photobobia. 
No fevers.
Client has mild dizziness and neck pain on flexion of the head. 

Other systems - Unremarkable

What's your diagnosis and plan of management?

Polycythemia, Meningitis & Malaria

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