40Y M WITH PNEMONIA AND DENGUE SINCE 3 DAYS

 

A 40 yr old came to the causality with complaints of. 

fever since 10 days 

cough since 3 days

shortness of breath since 3 days 

 

HOPI : 


10 yr back he had an attack of fits and he went tto doctor he prescribed medication 

5 yr back he again got an attack of episode of fits 

3 days back he had a fever then he developed sob and cough . yeaterday he went to the suryapet hospital and there HE HAD PLAETLET COUNT  IS 21 000 AND IGM POSITIVE  DIAGNOSED AS DENGUE 

then in night he came to the casuaity

fever since 10 days ,cough ,shortness of breath since 3 days fever is low grade assosiated with chills and rigours subsided with medication

cough is insidious and dry cough ,increased on lying down

sob since 3 days progressed form garde I to III

n/k/c/o dm ,thyroid ,htn, cad

previous h/o he had a attack of fits 5 yr back.

HE IS A CHRONIC ALCHOLIC SINCE 20 YR HE WILL DRINK 1 QUATER TO FULL IN EVER DAY













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