Acute febrile illness with abdominal pain.

29 year old male presented with fever 103 ,abdominal pain and stomach upset since 2 days. Loss of appetite. With oflox OZ the abdominal pain and diarrhea settled but still fever 101 is there on day 6. PCM brings fever down. ZIFI 200 bD added suspecting typhoid. On day 6 inv done On inv SGOT 330 SGPT 160 plat 88 TLC 2.6 TYPHIDOT neg Malaria antigen neg Widal and dengue serology awaited. Pls tell how can we clinically differentiate dengue from typhoid. ??

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IT'S A..CASE OF.. PYREXIA WITH.. THROMBOCYTOPENIA.. LEUKOPENIA.. AND.. ELEVATED..SGPT..SGOT .. WIDAL..DENGUE..REPORT'S AWAITED.. MEANWHILE TREAT SYMPTOMATICALLY WITH.. ANTIPYRETIC..PCM.. BS..ANTIBIOTICS.. IV..FLUIDS.. MULTIVITAMINS.. GLUCOSE SUPPLEMENTS.. REST AND FOLLOW UP.. NEED'S TO R/O..COVID-19..

Tnx Dr Ashok Leel sir
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This is a c/o covid infection with presenting symptoms of gasterointestinal tract which is encountere in all most more than 3.5%cases of covid infection You should test his stool for covid And also RT pcr Take xray chest to see any development there Results in these cases are better than respiratory So don't wait proceed

Thanx dr Ashok Leel
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Needs further investigation and evaluation to rule out COVID virus Infection. Follow protocols of COVID is must. Symptomatic treatment till reports complied.

Thanks Dr Shivraj Agarwal
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1.Dengue presents with sever myalgias,arthralgias 2.Itchy rash on 7th day whol body 3.Dengue is sesonal Typhoid comes with high grade fever Rose spots on trunk in fair complexion pts Usually constipation in adults

ADVISABLE USG....WHOLE. ABDOMEN.. WITH SYMPTOMATIC . MANAGEMENT.. NEEDS ALL. ROUTINE. EVALUATION.. ..... AS. PER. CLINICAL. CORRELATION

Go for usg abdomen In order to rule out Infective etiology of liver or pancrease

Thank you doctor
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