A patient of vivax malaria and enteric fever presenting as a case of jaundice with leukaemoid reaction.

A male child, aged 10 years, was referred to our clinical laboratory by a general practitioner in Tank, for investigations. The patient had fever for the last 9 days and complained of pain in the abdomen. On examination the child was visibly jaundiced. The temperature was 103°F. The child was highly toxic. Abdominal examination revealed splenomegaly and hepatomegaly. The liver was enlarged and tender. The patient was referred to the paediatrician, district headquarter hospital and was admitted. The paediatrician confirmed the above findings and advised widal test which was strongly positive.