50F with fever and knee joint pains
50 year old female, health care worker ( aayamma in orthopedic hospital ) resident of miryalguda presented with complaints of fever since 1 week, nausea and vomitings for 3 days, Rt shoulder pain since 1 week. She works in a orthopaedic hospital, does washing of patients clothes, OT gowns, other clothes with cleaning the hospital premises when ever it’s necessary. After reaching home she manages to do her work and take rest. In 2005 when her parents went to daily work ( daily waged labourers ) met with an road accident and expired, following which in there memory she tattooed there names on her right forearm. ( similar tattoos where present on her both knees, couldn’t give exact reason for them ). Since 10-11 year she had both knee joint pains for which she took analgesics with a frequency of 4-5 per month which did not effected her daily routine. Her son got married 10 years back, with daughter in law entering into her family, she got some rest and continues to work in hospital. Since