Vitamin B12 and folic acid deficiency presenting as acute febrile illness: a case report

Khwaja Saifullah Zafar, P.S. Singh, Vijay Kumar Verma, Vidyasagar Ram


Megaloblastic anemia is not uncommon in India, but data is insufficient regarding its presentation as pyrexia. We report the case of a patient who presented with pyrexia and anaemia, which after exclusion of infective, inflammatory or endocrine causes was attributed to megaloblastic anaemia secondary to vitamin B12 and folic acid deficiency. The patient’s fever responded to treatment of vitamin B12 and folic acid deficiency.


Pyrexia, Megaloblastic anemia, Vitamin B12, Folic acid, Pancytopenia

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