Solve this exciting clinical case, specific to your field of interest via Docplexus Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case Presentation A 57-year-old female presented with high-grade fever, fatigue, headache, diffuse body aches, hematuria, and gum bleeding. Patient history The patient returned from an international trip five days before the presentation.
She reportedly was exposed to sick patients with dengue infection. Her medical history was significant for hepatitis C, anemia, chronic thrombocytopenia, and recurrent renal calculi. Physical Examination Temperature: 103°F Pulse rate: 115/min Blood pressure: 147/90 mm Hg The patient appeared pale with multiple ecchymotic bruises on her extremities. Lungs were clear No organomegaly was observed on abdominal examination Laboratory Examination Hemoglobin: 12.4 g/dL WBC: 16.3 cubic…