Pyrexia and a rash

Fever and a rash.

Accepted 30 October 1996 A 37-year-old man presented with acute confusion following five days of back pain, and two days of fever and diarrhoea. On examination he had a fever of 38.7°C, jaundice, neck stiffness, conjunctival suffusion, and a purpuric rash (figures 1 and 2). His pulse was 100 beats/min and blood pressure 100/80 mmHg. The heart sounds were normal. He was tachypnoeic with scattere...

Unexplained Pyrexia in a Child

Dr. Mary Boyd gave the clinical details:?This girl, aged eleven years and thf?f months, was admitted to the Bristol Children's Hospital under Professor A. V. Neale November 1951. In June 1945, at the age of four years and nine months, she developed fever, 100 to i?, degrees in the morning rising to 104 degrees at night. This lasted three days and recurre at short intervals for three months. She...

Pyrexia of unknown origin.

Photophobia and a painful rash.

A 62 year old woman presented to eye casualty with a 10 day history of a left sided headache. Two days after her headache started she developed a painful and pruritic left sided rash. During the 24 hours before presentation, her left eye had become injected, painful, and photophobic. On examination she had a well demarcated, unilateral area of erythematous andmildly oedematous skin, which exten...

Pyrexia in a Patient with Megaloblastic Anemia: A Case Report and Literature Review

Deficiency of vitamin B12 and/or folic acid as a cause of pyrexia, though known, is rarely reported in literature. We aimed to report a case in a 51 year old woman, who presented with fever and pancytopenia and was diagnosed to have megaloblastic anemia secondary to vitamin B12 and folate deficiency. The pyrexia subsided following the intramuscular injection of vitamin B12 and oral folic acid a...