TREATMENT:
ANTIMALARIAL TREATMENT AS PER ,W.H.O.RECOMMENDATIONWAS GIVEN WITH LARIAGO+PRIMAQUIN FOR MALARIA.FOUR UNITS OF PLATELET TRANSFUSIONS GIVEN TO CORRECT HAEMATOLOGICAL ABNORMALITIES.
DISCUSSION:
SCREENING TREATMENT OF A FEVER CASE IS NOT A SIMPLE ONE.MANY GENERAL PRACTITIONERS HAVE THE HABIT OF PRESCRIBING AN ANTIBIOTIC,OFTEN EVEN IF THERE IS NO INDICATION. ANY FEVER MAY BE TREATED AS MALARIA AS PER W.H.O.
MANY DO NOT LIKE THIS VIEW.MALARIAL PARASITE'S ABSENCE FROM PERIPHERAL SMEAR,DOES NOT RULE OUT MALARIA.PARASITES OFTEN BECOME VISIBLE ONLY IF THERE IS ENOUGH LOAD OF PARASITES IN THE BLOOD TO A TUNE OF 2500PARASITES PER ML OF BLOOD.SUCH A SITUATION IS VERY COMMON IN TRIBAL AREAS,OR NEAR JUNGLES,OR NEAR WATER RESERVOIRS,WHERE MOSQUITO'S THRIVE IN ABUNDANCE.
CONCLUSION
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A CASE OF MALARIA+DENGUE HEMORRHAGIC FEVER WAS DIAGNOSED IN A CHILD OF 12 YEARS THROUGH BLOOD MICROBIOLOGY/BIOCHEMISTRY&TREATED SUCCESSFULLY.TO OUR KNOWLEDGE THIS MAY BE THE FIRST PEDIATRIC CASE OF MALARIA+DENGUE COMBINED IN THE SAME CASE,EVER REPORTED IN THE WORD MEDICAL LITERATURE.SHE WAS ASYMPTOMATIC AT THE TIME OF DISCHARGE.

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