36M with fever and neck swellings.
36 year old male, daily waged labourer by occupation presented with cheif complaints of Fever since 1 week Pain abdomen since 4-5 days Burning micturation since 4-5 days Yellowish red coloured urine since 4-5 days Patient was apparently normal 14 years back, when he used to smoke 1 pack of beedies per day during his daily works like farming, then one day he developed shortness of breath on exertion which gradually progressive over days to limit his daily routine works. Then he visited near by hospital and told that he had fluid in Rt side of the lung ( nimmu : in patient words) no fluid was removed and told it is beacuse of smoking and treated conservatively after few days symptoms resolved. 4 years back he had a snake bite at right leg. 2 years back he had head injury in a fight with relatives due to financial issues and 6 sutures was placed. 1 week back he developed Fever which is high grade associated with chills mostly in nights with sweating,. Continous type , relived w...