scholarly journals Erythrophagocytosis in Bone Marrow: A Clue to Pyrexia of Unknown Origin

Author(s):  
Neha Garg ◽  
Surabhi Raina ◽  
Mrinalini Kotru ◽  
Meera Sikka
2020 ◽  
pp. 51-52
Author(s):  
Y.V.S. Prabhakar ◽  
Ponnaganti Vasundhara

We report a case of pyrexia of unknown origin in a 35 yr old male . He presented to us with fever since 2 months which was associated with chills and rigor . He is non alcoholic , non smoker . Mild Hepatosplenomegaly was found on initial physical examination. Before he was referred to our hospital, he was investigated in outside hospital . The serial Rapid Diagnostic Test and microscopic peripheral blood smears for plasmodium were negative . He was treated symptomatically . In view of non subsiding fever patient was referred to higher centre . He presented to our institute for further evaluation . His laboratory findings found pancytopenia. Bone marrow aspiration(BMA) was done. BMA showed Gametocytes of P. falciparum. The presence of gametocytes of P.Falciparum in the bone marrow ,not in peripheral smear and presenting as PUO is rare .


2019 ◽  
Vol 62 (3) ◽  
pp. 493
Author(s):  
Deepak Bansal ◽  
Renu Suthar ◽  
Deepti Suri ◽  
Prashant Sharma ◽  
Pallab Ray

2013 ◽  
Vol 3 (6) ◽  
pp. 447-451 ◽  
Author(s):  
A Jha ◽  
R Sarda

Background: Pyrexia of unknown origin is a common diagnostic dilemma. Series of diagnostic modalities are required to arrive at diagnosis. Bone marrow examination is one of the common tests implicated in the diagnosis in combination with other diagnostic modalities. Present study has attempted to explore the causes of pyrexia of unknown origin based on bone marrow morphological study. Materials and Methods: In a one year prospective study conducted at Manipal Teaching Hospital, Pokhara, Nepal; bone marrow aspiration and biopsy was performed and evaluated morphologically, in 57 patients fulfilling the criteria of classic pyrexia of unknown origin. Results: In 42% cases; specific diagnosis could be made and hematological neoplasm was the most common finding followed by megaloblastic anemia, hypoplastic anemia and one case each of hemophagocytosis, malaria and tuberculosis. Acute leukemia was the most frequently encountered hematological malignancy followed by multiple myeloma, chronic myeloid leukemia, essential thrombocythemia and myelodysplastic syndrome. Conclusion: Morphological examination of bone marrow has important role in diagnosis of pyrexia of unknown origin. However, yield of diagnosis can be increased if it is combined with other diagnostic modalities including radiological, microbiological and serological tests. DOI: http://dx.doi.org/10.3126/jpn.v3i6.8991 Journal of Pathology of Nepal (2013) Vol. 3, 447-451


2014 ◽  
Vol 13 (12) ◽  
pp. 01-03
Author(s):  
Dr Sangeeta Sharma ◽  
◽  
Dr Ujwala Maheshwari ◽  
Dr Pooja Gajaria ◽  
Dr Reeta Dhar ◽  
...  

Hematology ◽  
2008 ◽  
Vol 13 (5) ◽  
pp. 307-312 ◽  
Author(s):  
Ruchika Gupta ◽  
Namrata Setia ◽  
Prerna Arora ◽  
Sompal Singh ◽  
Tejinder Singh

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Aisha A. Alghamdi ◽  
Faiza S. Awan ◽  
Iqbal H. Maniyar ◽  
Naif A. Alghamdi

Though commonly encountered, extrapulmonary tuberculosis (TB) can sometimes present with variable clinical picture intricating the diagnosis (Avasthi et al., 2010). The nonspecific symptoms include pyrexia of unknown origin, hepatosplenomegaly, lymphadenopathy, meningitis, and, rarely, variety of hematological abnormalities, namely, anemia, pancytopenia, and leukemoid reaction (Avasthi et al., 2010). When it presents with bone marrow (BM) involvement, prognosis is usually poor (Avasthi et al., 2010, Qasim et al., 2003, and Singh et al., 2001). We, hereby, report a case of extra-pulmonary TB with a six-month history of fever associated with dizziness, fatigability, and cough. During the hospital stay, the patient showed a spectrum of interesting hematological findings, including severe pancytopenia on peripheral smear, necrotizing caseating granulomas consistent with TB on bone marrow examination. The patient showed a good clinical as well as hematological response to antituberculosis treatment. This paper highlights the significance of a hematological picture in the final confirmation of TB, which may otherwise be passed off as nutritional or other unrelated causes.


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