Abstract

Introduction: An unusual case of a 19 year old female, presenting with fever, pallor and hepatosplenomegaly for one month. She had microcytic anemia on peripheral smear examination but her bone marrow aspiration & biopsy revealed a hypercelluar marrow with megaloblastic erythroid hyperplasia. Resolution of fever within 48 hours of Vitamin B12 supplementation, initiated in view of the megaloblastic bone marrow picture & low serumVitamin B12 level, suggests a causal association. Conclusion: Vitamin B12 deficiency seems to be an unusual cause of PUO (Pyrexia of unkown origin) which should be ruled out in every case of PUO.

Keywords: Megaloblastic anemia, Vitamin B12 deficiency, Pancytopenia, Pyrexia of unknown origin (PUO)

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 How to Cite
., S., Kumar, P., & ., S. (2019). Vitamin B12 Deficiency an Unusual Cause of Fever: A Case Report. International Journal of Innovative Research in Medical Science, 4(02), 168 to 171. https://doi.org/10.23958/ijirms/vol04-i02/563

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