DENGUE NS 1 POSITIVE 39/M

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A 39yr old male patient came to the casualty with c/o fever since 4days .

HOPI - 

Patient was apparently asymptomatic 4days back then he developed low grade intermittent fever associated with body pains and not associated with chills and rigors 

C/O Burning micturition since 1day

C/O soreness of mouth since 1day

No H/o vomitings, loose stools ,black colored stools, SOB,  cold, cough, giddiness, hematuria

No rash & bleeding manifestations .

No H/o retro orbital pain , joint pains .

Past History - 

Not a k/c/o HTN , DM,TB, Asthma , CAD, CVD 

Personal history -

Diet - mixed

Appetite - Normal 

Bowel & bladder movements - regular 

No addictions

Family history - not significant

On Examination 

patient is c/c/c

No pallor , icterus , cyanosis , clubbing lymphadenopathy , edema

Vitals -

Temp - 98.6°F

PR - 78bpm

BP - 100/60 mmHg

RR -18cpm

SpO2- 98%@RA

Systemic examination -

CVS - S1 S2 +VE 

RS -BAE +VE , NVBS +VE 

P/A - soft , non tender , BS +ve 

CNS - NAD 

Provisional diagnosis - 

Dengue Fever with Thrombocytopenia 

INVESTIGATIONS

RAPID DENGUE:NS1 POSITIVE 

                            IGM NEGATIVE 

                            IGG  NEGATIVE 

CLINICAL IMAGES

TREATMENT:

IVF NS/RL/DNS @75ML/HR

INJ.PANTOP 40MG IV BD

INJ.OPTINUERON 1AMP IN 100ML NS IV OD

TAB.DOLO 650MG PO TID

INJ.NEOMOL 1GM IV SOS (IF TEMP >101°F)

PLENTY OF ORAL FLUIDS 

TEMPERATURE CHARTING 4th HOURLY 

WIF POSTURAL HYPOTENSION, BLEEDING MANIFESTATIONS