50yrs/M, History of single fever episode 13days back, which
Dr. Gajanan Gaikwad
50yrs/M, History of single fever episode 13days back, which remained for 2 days...f/b b/l ankle joint pain and tenderness (since 10days) so much that he can’t walk...low back ache with sacroiliac tenderness...admitted since 3days...T Bili on admission 7 with direct fraction more...now its 11...WBCs 30000...85% neutrophils...HAV/HBsAg/HCV - negative, NO rt hypochondriac pain or tenderness...no hepatomegaly...USG Abdo - normal...SGOT n SGPT 10 times raised ...ALP - 500+...RFTs normal...in past history of fever episodes n icterus+...differentials pls...
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