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CASE REPORT
Year : 2017  |  Volume : 9  |  Issue : 3  |  Page : 117-119

A microbial old friend with a new face: A rare case of pyrexia of unknown origin and leukemoid reaction


1 Department of Hematology, All India Institute of Medical Sciences (AIIMS), New Delhi, India
2 Department of Neurology, Sir Ganga Ram Hospital, New Delhi, India
3 Department of Medicine, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India

Correspondence Address:
Sumeet P Mirgh
No: 401, Jai Gurudev C.H.S., Plot No. 6, Sector No. 1, Sanpada, Navi Mumbai - 400 705, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jgid.jgid_166_16

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We present a case of a young male, who presented to us with high-grade fever for more than four weeks, refractory seizures, multiple subcutaneous palpable lumps, and evidence of leukocytosis with predominant left shift on the peripheral smear. The classic “starry-sky” appearance on imaging, generalized muscular uptake on positron emission tomography-computerized tomography scan, and positive serology led to a diagnosis of disseminated cysticercosis. He responded to oral steroids. To the best of our knowledge, disseminated cysticercosis presenting as pyrexia of unknown origin and with a leukemoid reaction has never been reported in literature.


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2008 Journal of Global Infectious Diseases | Published by Wolters Kluwer - Medknow
Online since 10th December, 2008