A 26-year-old woman presents with fever, headache and arthralgia 10 days after travel to Papua New Guinea. Her initial full blood count is shown below. She subsequently has a prolonged seizure that does not respond to benzodiazepines and is shocked and hypoxic.
| Parameter |
Result |
Reference range |
| Haemoglobin |
60 g/L |
115-160 |
| White cell count |
10 x10^9/L |
4-11 |
| Platelets |
90 x10^9/L |
140-400 |
| MCV |
88 fL |
80-100 |
| Heart rate |
120 /min |
|
| Blood pressure |
70/40 mmHg |
|
| Respiratory rate |
28 /min |
|
| Oxygen saturation |
90% on room air |
|
| Temperature |
38.6 C |
|
Give the most likely explanation for the abnormalities on her full blood count.
(Marked out of 3.0)
/ 3
List four further investigations and give a justification for each.
(Marked out of 4.0)
/ 4
Describe your management priorities, including endpoints where relevant.
(Marked out of 5.0)
/ 5
Total Score: 0 / 12
Percentage: 0%
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