Case Report on Iron Defic...

A 20-year-old female was admitted to a hospital in June 2022 with a high fever and right iliac fossa pain. She had a history of pica and a normal menstrual cycle, with no family history of chronic diseases, anaemia, smoking, or alcohol use. She was not sexually active. Examination revealed a fully conscious patient (GCS = 15), pulse was 110 beats per minute, and blood pressure was 80/60 mmHg. Examining her skin and mucus membrane revealed pallor, atrophic glossitis, and angular stomatitis (Fig.1). There was no oropharyngeal erythema or any signs of inflammation. The oral mucosa and gingiva were normal without lesions. Initial laboratory revealed anaemia with haemoglobin = (3.5 g/dl), HCT (12.4%), mean corpuscular volume (55.1fl), platelets (1007 × 10^3/μl), and total WBC was also high (14.9 × 10^3/μl) with Neutrophils about 80%. The renal function test, electrolytes, and liver function tests were all normal. Abdominal ultrasound revealed signs of Pelvic inflammatory disease, fluid collection in the posterior cul-de-sac and tiny calculi near the right kidney. The peripheral blood picture showed anisocytosis, poikilocytosis, microcytic hypochromic RBCs with target cells, pencil cells, teardrops cells, polychromies cells, leukocytosis, and very high platelets.