High grade fever with chills

Female pt of age 28 Chief Complaints Fever with chills three days Vomit one day No history of cough/cold Vitals Temp:102.8 Spo2:98 Physical Examination Nad Investigations Tlc 2800 Urine R/m: Turbid Bacteria present Reducing sugar trace Typhi dot negetive Diagnosis Uti??? Management Need Opinion

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HYPERPYREXIA..WITH .. LEUKOPENIA .. TLC 2800 .. URINE .. BACTERIA .. PRESENT.. SUGAR.. TRACE SUGGESTIVE OF.. ? VIRAL FEVER .. WITH .. UTI .. AND .. DM .. NEED'S .. HEMOGRAM.. URINE ROUTINE AND..C &S EXAMINATION.. BSR..HBA1C .. USG..ABDOMEN .. MEANWHILE TREAT SYMPTOMATICALLY .. WITH .. PCM.. OFLOXACIN 400MG BD.. PPI ..

OTHER LAB INVESTIGATION RBS,FBS,URINE CULTURE ,MP,CULTURE FOR SALMONELLA,USG ABD SHOULD BE DONE TREAT THE UTI WITH ANTIBIOTIC AFTER CULTURE REPORT WITH ANTI BIOTIC THIS PT MAYBE DIABETIC AND THESE SIGN AND SYMPTOMS MAYBE DUE TO AC PYLONEPHRITS WHICH NEED PROPER ANTIBIOTIC TREATMENT AND ALSO SYMPTOMATIC

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dx Uti Frequency of fever fi alternate day and fever appears same time + headache..then r/o malariya.

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