4year old with high grade fever with chills since 1 week ,hepatosplenomegaly cheilitis red tongue ,started on monocef since 3days ,no resolution of spikes ,amikacin added after 48 hrs but no respite.

19/m cane with mild headache, RUQ and epigastric pain on off nausea, anorexia , bodyache. since 4-5 days. ix attached below. whats ur opinion regarding DX,DD, IX, RX.

Hi . Here is a 27 yr old male patient with h/o fever since 8 days progressed to thrombocytopenia and myocarditis with ejection fraction 23% with AKI , now with cxr as above.. Dengue n malaria negative and sputum for afb neg, pt is concious and tachypnoeic in resp failure(paO2-55)... Pl discuss the managment protocol .. Thanks.

45 yr male..c/o fever for 1 wk..not a t2dm/SHTN, alcoholic or asmoker..not on any medication..came body rahshes all over , splinctr hemorrhage.. investigation shows albuminuria, mild hematuria, hepatitis picture, usg and normal study..CBC shows leucocytosis with platelets 64000, dengue, MP, scrub typhus , bl.cs, urine C's, lepto igm all are negative..ophthalmology opinion no Roth's spot..echo normal..ANA report pending..his skin lesion picture n below treated with xone, doxy, azithromycin..platelets improved..fever spikes reduced..NOW --- bilirubin level normal execpt elevated sgot sgpt..urine albumin trace , rbcs 6-8, cbc normal..

19y/o Male with complaint of intermittent fever since 7 days, and itching all over body with abdominal pain since 4 days. Itching and abdominal pain has been resolved and the admission to hospital. Dengue investigation is negative. Below are his reports. What would the diagnosis and treatment be?