Abstract

An adult female presented to the medicine department with fever with chills, generalized myalgia and retro-orbital pain. There was high suspicion of dengue fever so dengue serology along with other routine blood investigations were sent. Serology for NS 1 antigen was positive confirming dengue fever. Complete blood count revealed reduced hemoglobin (9.7g/dl), leucocytosis (20,000/cumm) and thrombocytopenia (69,000/cumm). On peripheral smear, red blood cells showed moderate anisocytosis with presence of normocytic normochromic cells, microcytic hypochromic cells, elongated cells, few macrocytes and occasional polychromatophils.