Acute Rheumatic Fever?

8yr/M having fever for last 1 month with temp 102, with mild pain in abdomen and constipation on/off. No history of rash/bone pain Typhoid/dengue/Malaria all negative CXR normal Usg- mild dialated loop Blood culture is normal Blood rep- High TLC with Inc CRP Treatment given Pcm azithro cefixime and amikacin Pateint has temp 99 but tlc is high. What can all be cause and what is the diagnosis and treatment approach.

27yr F has come yesterday with c/o body pain headache and throat irrtation and fever with shivering and mild cough she had 2or3 vomiting before that . o/e she is febrile temp 101 f pulse 100/bpm bp 100/70 no dehydration .in my area as earlier i have notified it is endamic with swine flue ie h1n1. so she was given paracetamol650mg tds and Azithromycin 500mg od . today morning she has not taken any medication but noted rashes as in picture predominently on face no burning no itching etc o/e rashes are discreet and all over mainly face on hard palate and soft palate also suspicious for kopliks spot. so confusion is .are these rashes of d/d 1 swine flu 2 G measales 3 dengue fever or 4 drug induced . can you help me in dx

12 year female child with pain ful ankle and pain ful lesion over both legs since 2 days.. with increased intensity of pain history of fever prior to this development of lesion provide diagnosis and management investigations

28yrs male rashes allover the body ass with mild itch last night. no drug allergy mild general weakness nd giddiness. . now afeblile nd vitals normal h/o fever 3days ago .. bt nd ct normal cbp report waiting

25 M fever high with joint pains 3 days. applied garlic oil on knee area and hands also to relieve pain. developed rash on 3rd day on knee area only.had taken loose tabs from gp.from 2nd day.rapid malaria negetive