Published: 1 April 2021
Author(s): Louis-Philippe Dormegnie, Adrien Henry, Jean-Hugues Salmon, Yohan N'Guyen
Issue: May 2021
Section: Internal Medicine Flashcard

A 33-year old Ivorian woman was admitted for fever and thrombocytopenia. She had been previously treated in France by tocilizumab then anti TNF-α for rheumatoid arthritis since 7 and 2 years respectively. She lost weight three months ago, whereas her last trip to Ivory Coast was three years ago. Physical examination was unremarkable except a hectic fever. Complete Blood count revealed hypochromic microcytic anaemia (6.1 g/dL) and profound thrombocytopenia (11 000/mm3), Serum C reactive protein and ferritin values were 81 mg/L and 636 ng/mL respectively.

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