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Low intake of fluids, loss of fluids because of vomiting and pyrexial sweating, cytokine and NO mediated arterial vasodilatation specifically organ specific release of NO, resistance to vasoactive hormones, cytopathic hypoxia leading to decreased ATP synthesis, cytoadherence of PRBCs, etc all may contribute singly or in combination towards malarial ARF.
Literature review has shown that bone marrow studies should be considered significant in evaluating patients having long duration of pyrexial illness12.
Post-operatively, the patient remained pyrexial with a raised white-cell count.
Clinically he was pyrexial, with worsening otitis externa and a recurring polypoid mass formation with large, pale granulations.
She was anicteric, pyrexial and pale and had no peritonitism.
One of these patients had become confused and pyrexial 24 hours postoperatively, and a perforation of her esophagus was assumed.
On presentation she was clinically dehydrated, pyrexial, and the lower abdomen was full with tenderness in the right iliac fossa and hypogastrium.