Female patient age 7 complains of fever for last 3 days had covid

Having rashes c itch. Doubt CKD, RHA or ASO titer... Suggested further inv for final diagnosis.

A 22 year old female married for 2.5 months presented to ER with fever since 8 days low to moderate grade, intermittent.and yellowish discolouration of sclera and skin since 3/4 days and altered sensorium since 1 day. On examination: Vitals normal Pallor + Icterus +++ Rest GPE wnl Patient deeply comatosed E1V1M1 No neck rigidity no kernigs. Planter b\l flexor Liver just palpable ( span 11.5 cm) On enquiring her husband and mother, there is history of ayurvedic medicine intake for a month bt that too 2 months back for lump in left breast which seems to be a lipomatous 0.5*0.5 cm swelling. Lmp was 1.5 mnth back. History if rats in house is there. No major prev illness Husband told that she developed rashes on day 1 and 2 and as per description were maculopapular but no scars are seen now. LMP 1.5 month back UPT negative. Leptospira igM sent, hbsag hcv awaited. Reat reports attached. Started ceftriaxone , doxycycline, ppi, emset, ivf, lactulose, rt feed. Kindly give your valuable opinion for further plan.

what should I do for it... should I use steroid injection for this..???????

A 50 yr/M came to me today night with the c/o swelling subamandibular region o/e bilateral lymphadenitis,cough sometimes after food,anemia,no wt.loss,well build, lymphadenitis sinc3?months since 1month taking treatment from chest physician,and ENT,they dignosed him as reactive lymphadenitis,started him on oflox cefexime ,Aceclopara,and iron suppliment since 15 days k/c/oDM under control only taking Metformin,he had devloped rashes today morning. i suggested him xray cbc,what it can be dignosis please. I ll get his report by tommrow.

a 12 yr girl come with fever on&off since last 10 days. complaint of abdomen pain and weaknesses. o/e liver and spleen enlarge, paller, febrile...plz suggest TT and cause of incre. plt. count