Bilateral Cervical Lymphadenopathy Atypical Presentation of Malaria-A Rare Case ReportCorrespondence Address :
Dr. Dwijen Das,
Associate Professor, Department of Medicine, Silchar Medical College, PO. Ghungoor, Dist. Cachar-788014, Assam, India.
Malaria, the most common parasitic disease of humans, remains a major health and economic burden in most tropical countries. An 18- year-old male from rural north eastern India presented with four days fever with chill. The patient was conscious, oriented but confused. Physical examination revealed bilateral multiple, discrete cervical lymphadenitis without organomegaly or sternal tenderness. Blood parameters were normal except transient thrombocytopenia. Blood smear and antigen were positive for both Plasmodium vivax and falciparum with negative viral markers. Fine Needle Aspiration Cytology (FNAC) of cervical lymph nodes showed non-specific reactive lymphadenitis which subsided with antimalarial treatment. Lymphadenitis is an extremely rare presentation in malaria and is considered as an important negative finding. We reported this case to highlight that such unusual manifestations may present in malaria in endemic areas which may baffle the clinicians.
Lymphadenitis, Plasmodium vivax, Thrombocytopenia
Dwijen Das, Kallol Bhattacharjee, Surinder Ghintala, Amit Kr Kalwar. BILATERAL CERVICAL LYMPHADENOPATHY ATYPICAL PRESENTATION OF MALARIA-A RARE CASE REPORT. Journal of Clinical and Diagnostic Research [serial online] 2017 April [cited: 2017 May 23 ]; 11:OD08-OD09. Available from
Date of Submission: Aug 04, 2016
Date of Peer Review: Nov 01, 2016
Date of Acceptance: Jan 04, 2017
Date of Publishing: Apr 01, 2017
Financial OR OTHER COMPETING INTERESTS: None.
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