1. INVESTIGATION PROFILE OF
MR.SHAHABUDDIN

2. haematology
• 17.06.12
• CBC
• Hb 7.9 gm/dl,esr 88 mm 1st hr,tc wbc
5000/cmm,tc rbc 2.81 million/cmm,pcv 25%,mcv
88.9 fl,mch 31.6 gm/dl,platelets
1,50,000/c.m.m,N 60%,L35%,M02%,E03%,B00%.
• CBC(11.07.12):hb 7g/dl,esr 103mm1st hr,tc
rbc2.7million/cmm,tc wbc 3000/cmm,N 64%,L
34%,m 02%,platelets 80,000/cmm.

3. haematology
• Peripheral blood film(26.8.11)-normocytic
normochromic anemia.
• Bone marrow study(19.04.12)-secondary
reactive marrow.
• PBF(24.7.12)-pancytopenia.
• Reticulocyte count-3.5%
• Coombs test-direct- negative,indirect-
negative.

4. BIOCHEMISTRY
• DATE 12.03.12:
• ANA 9.79 U/ml(negative)
• RA FACTOR <81 U/ml(NEGATIVE)
• SERUM FERRITIN 579.49 NG/ml
• PSA 0.72 .
• DATE 11.07.12:
• S.bilirubin 6.1mg/dl
• S.ALT 159 U/L
• S.CREATININE 0.9 mg/dl
• Prothrombin time INR 1.19
• DATE 17.06.2012
• S.ALT 26 U/L
• S.CREATININE 0.7 mg/dl
• S.BILIRUBIN 1.1mg/dl

5. SEROLOGY AND MICROBIOLOGY
• BLOOD C/S (20.08.11) growth of s.aureus.
• BLOOD C/S (O5.04.12) no growth.
• ICT FOR MALARIA (21.04.12)negative.
• TRIPLE ANTIGEN (22.04.12)not significant.
• ICT FOR KALA-AZAR Ab(28.04.12)positive.
• BONE MARROW FOR MYCOBACTERIAL CULTURE- no growth
of mycobacterium after 6 weeks incubation in L-J media at
37c.
• ICT FOR KALA-AZAR-IgM negative,IgG positive(17.06.12)
• HBsAg(11.07.12)negative.
• Anti HEV IgM&Anti HCV(14.07.12)negative

6. RADIOLOGY AND IMAGING
• CHEST X RAY PA(21.03.12)Pulmonary inflammatory lesion.
• X RAY PNS OM(3.08.11)Right antral polyp.
• X RAY DORSOLUMBAR SPINE-L2 and L3 show marginal bony
beakings,disc spaces are maintained,no abnormal
paraspinal opacities.
• HRCT SCAN OF CHEST(22.04.12)minimal bronchial wall and
septal thickening at rt apical region.
• USG OF WHOLE ABDOMEN(15.08.11)mild
hepatosplenomegaly,cholelithiasis,benign enlargement of
prostate.
• ECHOCARDIOGRAPHY(9.04.12)thickened aortic
valve,normal LV systolic function.

7. others
• URINE R/E(11.07.12)appearance clear,pus cells
0-2/hpf,R.B.C nil,Albumin +.
• E.c.g(29.03.12)normal

8. most recent
• CBC(24.07.12)-Hb%5.4 gm/dl,esr 107 mm 1st
hour,RBC 2.1 MILLION/cmm,wbc
2200/c.mm,platelet 50,000/c.m.m
• Bone marrow study-secondary reactive
marrow with visceral leishmaniasis,
• LD BODY present.

9. Confirmatory diagnosis
• Kala azar(visceral leishmaniasis)with type 2
DM,HTN,RA,COPD.