My father (56yrs) has been suffering from Fever since 10 days associated with severe PolyArthralgia, Myalgia.
Diagnosed DVT in left calf vein with no pulmonary embolism.
Icterus since 2 days.
No comorbid illness.
Thrombocytopenia (platelet 110lac)
Rising WBC Count (from 10000 to 27000 in last 3 days), Neutrophilia
Normal PCT Level
Serum bilirubin level (5.4 mg%, direct 4.8 mg%)
Normal Liver enzyme
All viral studies (chikungunia, hunta, hepatitis, leptospyra, brucella)
Collagen studies and rheumatic workup normal
Basal atelectasis on CXR
Fundoscopy - Cottonwool spots on retina
Blood culture awaitedTreatment given:
Tablet Falcigo x 7 days
Doxy x 7 days
Ceftriaxon x 3 days
SOS Antipiratic analgesicSo far no confirmed diagnosis achieved and fever spikes becoming more frequent and on increasing grade (upto 39 degC).