A male patient 62 yr was suffering from watery diarrhea 6 to 7, abdominal pain, anorexia,vommiting and mild fever from 4 days.on examination he had gaseous abdomen,mild cough and mild tenderness over it.Previously taken on counter antibiotics ( not known).Starded tab satrigyl o ,pan 40,ondem 8,ors,sporolac and pcm and Adviced him for CBC,bsl, creatinine, urine routine which reavels leucocytosis 23400 with neutrophilia 90 and lymphopenia 02 , creatinine 4.8,urine shows albumin 1+ and rest f normal.So,Is it infective pathology affecting gut and kidney as in clotridium difficult or malignant renal presentation or covid one??? Or any ??? Plz kindly advise me further management and diagnosis approach.

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Suggest RTPCR for COVID Blood test for DDimer, proinflamnatory markers HRCT chest Abdominal ultrasound to check kidney status, and intraabdominal sepsis . ABG ,RFT Admission, IV antibiotics, O2 , iv fluid support, non absorbable gut sterilsers like Rifagut

First kindly do immediately Rapid Antigen Test or Reverse Transcriptase Polymerase Chain Reaction RTPCR to rule out COVID -19.Its looks Neutrophil Lymphocytes ratio increased. ? COVID 19 infecting other organs secondary bacterial infection. 2.Kidney Disease Kindly do 1.HRCT Chest 2 .Chest X ray p a view. Management based on Covid report.

AKD with leucocytosis infective etiology you should have to go for S. Pancreas & USG of whole abdomrn with KFT

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As WBC 23400 it's not viral. Possibility of covid 19 is not there. Considering pandemic situation & our precaution antigen test + chest x ray can be done. If suspected HRCT - SOS As WBC increased, Its bacterial infection or parasitic affecting gut & secondarily influences kidney ( glomerulopathy). Treating GIT with alternative kidney with resolve symptoms. Need to admit - IV.Metrogyl - BD Inj.Ondem - OD IV.NS - OD IV.Multivitamine - OD Along with that Note urine out ..must be proper. If urine out is less INJ.LASIX SOS As creat 4 - before starting any antibiotics Nephrologist opinion would be preferable. As per provided details- No any such malignancy is present.

Adv USG abdomen and pelvis CBC RBS RFT HIV 1&2 HbSAG CRP Covid-19 RTPCR

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