A 60 year old female with high grade fever ,weakness since 12 days
History of presenting Illness: Patient was apparently asymptomatic 12 days back then she developed fever which is sudden in onset, continuous, with chills and no rigor ,no evening rise of temperature. Patient complains of backache since 12 days , continuous which is insidious in onset,pain is confined to shoulder mostly ,dull aching type,non radiating,with no aggravating and relieving factors. Patient complains of Generalised Weakness since 12 days Patient went to RMP doctor ,used medicines for 2 days which didn't subside ,so they went to Nalgonda government hospital and was diagnosed with dengue and low platelet count ,medicines were taken for 3 days which gave no relief Patient went to miryalaguda hospital on 28 December , got admitted and came to KIMS for further management . Past History: Patient has no similar complaints in the past No history of Diabetes mellitus, hypertension,asthma, epilepsy, tuberculosis. Personal History: Patient takes mixed diet, appetite is decrea