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Pyrexia due to megaloblastic anemia: An Unusual Case


Int J Med Res Health Sci. |

Authors: Singh PS, Vijay Verma, Vidyasagar, Granth Kumar
Int J Med Res Health Sci. 2014;3(3):753-755 |  DOI:10.5958/2319-5886.2014.00432.9


Postmenopausal vegetarian female presented with short febrile illness associated with generalized weakness Clinical and investigative findings evidenced megaloblastic anemia Since none of investigations could   pinpoint the cause for pyrexia and patient did not respond to empirical antibiotic  and conservative antimalarial therapy, megaloblastic anemia itself  was suspected to be cause for febrile episode Patient was treated with parenteral B12 and  oral folic acid for megaloblastic anemia and she responded to it and became afebrile within 72 hours. Subsequently megaloblastic anemia was correlated to be cause of febrile illness.


Keywords: Megaloblastic anemia, Pyrexia of unknown origin, B12 and folic acid deficiency

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