A 30 years old female with C/o Fever,Multiple episodes of vomiting,Loose stools,Abdominal pain and Hematuria for 3 days..
She was treated in nearby hospital where she was found to have acute hepatitis and increased renal parameters..
her BP was 70/50 fr which supports started and referred to our hospital..
on arrival she was febrile and with abdominal pain.. Vitals- hypotensive and tachycardiac..
P/A- Tenderness in epigastrium and umbilical region..
she was admitted in Icu!! BP supports started and IV antibiotics started..
investigations done!! Dengue,Malaria,Scrub typhus,Leptospira,Blood C&S, Urine C&S, HBsAg,HCV,HAV,HIV all are negative..
She had increased bilirubin,SGOT,SGPT,Creatinine levels.. platelet is 55000.. WBC count is normal bt predominant neutrophilia.. . ESR normal..
CXR normal.. ECG normal.. Usg appears relatively normal..
What may be the cause for the fever??
any ideas doctors??
wat else v shuld look for??
Her BP is 90/60 now..afebrile now.. bt lethargic..
please give me ur suggestions