Thrombocytopenia with enteric fever

Male patient of age 35 No history of dm or htn Chief Complaints Fever ,Headache and weakness since three daya History Taking medication from somewhere else since three days but not relief Vitals Bp: 120/70 Pulse 88 Spo2 97 Physical Examination Bilateral chest clear Stool and urine normal Investigations Blood platelates 1.40 on date 3/10 Blood platelates 1.30 on date 04/10 Blood platelates 90 thousand today 06/20 morning Widal 320++ Esr40 Mp negetive Crp: 12.5 Diagnosis Enteric fever?? Dengue?? Covid??? Management I provide injection cefuroxime bd Tab: 650 tds inj: pan 40 bd since three days but fever persist and platelates goes down every day. What should do ??? Should i continoue antibiotics or stop Need precious advice

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Dear Doctor please start Tab Enteromycetin 500 three times daily, Tab p 650 one Tab sos , Tab Irozorb plus one Tab daily, cap Surbex Gold one daily, Tab Caripill one bd for 5 days, but in my opinion please ask for NS1 IGM IGG TO RULED OUT DENGUE

Thank you doctor.
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First rule out dengue

Thank you doctor.
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SUGGEST Blood culture to confirm enteric fever Dengue profile ? History of ITP Supportive measures CARIPILL tab 1 tab BD to improve platelet count. Papaya leaf decoction helps

Add dexamethasone continue antibiotics add tab oflox

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