new_n_lost
Politically InCorrect
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A-30-year-old man developed a febrile illness three days after returning from a holiday in Thailand. He was admitted complaining of severe myalgia. On examination he was febrile (39؛C) with a diffuse macular rash on the trunk. There was no lymphadenopathy.
Investigations revealed:
Haemoglobin 15.1 g/dL (13.0-18.0)
White cell count 7.5 x 109/L (4-11)
Platelet count 105 x 109/L (150-400)
Serum total bilirubin 18 µmol/L (1-22)
Serum alanine aminotransferase 120 U/L (5-35)
What is the most likely diagnosis?
1) Acute HIV infection (seroconversion illness).
2) Dengue fever.
3) Hepatitis E.
4) Secondary syphilis.
5) Typhoid.
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| mytime
Kick my butt!
Topics: 39
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Probably Hep E since that's the belt.
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| new_n_lost
Politically InCorrect
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 Nobody Answers n So many Views Cmon Guys SHOW UR GUTS
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| salmonella
Forum Elite
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hmm
agree with mytime
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| mms
Forum Junior
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dengue fever or thyphus. Dengue fever has low platelets (which is the case here) and low white cell count (which is not the case here) so I can't decide.
2 or 5
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| mytime
Kick my butt!
Topics: 39
Posts: 3,173
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U know mms u are probably right it cud be dengue. ???????? And am sure SALMoNELLA knows it's not him. 
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| new_n_lost
Politically InCorrect
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The symptoms are most consistent with dengue fever.
While acute retroviral syndrome (acute HIV) is associated with a widespread macular rash, it is also usually associated with pharyngitis and generalised lymphadenopathy.
Hepatitis E presents in a similar manner to hepatitis A, i.e. as an acute febrile illness with jaundice.
The history is too acute for secondary syphilis, which is not typically associated with myalgia.
Typhoid fever is usually a diarrheal illness associated with subtle 'rose spots' on the abdomen.
Dengue fever is caused by an arthropod-borne flavivirus. The disease has an incubation period of approximately 7 days, followed by headaches and retro-orbital pain. Symptoms evolve rapidly and severe musculoskeletal pain is a prominent feature, with a maculopapular rash.
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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