G . Saahithya Reddy Roll no -141 Lively Cases

 60 year old male who is a farmer by occupation came to casualty with the complaints of  fever since 15 days  Cough since and sob since 5 days  Hematuria and urine output since 2 days  HOPI :  Patient was apparently asymptomatic 15 days back ,he had history of fever which is of high grade , intermittent , associated with chills and rigors for 2 days then he visited RMP ,though he took oral medication fever did not subside  Then he was taken to hospital in nalgonda on 13th Jan ,2022 as Dengue (NS1 positive) patient  had h/o bleeding manifestations like hematuria and Malena  2 SDP transfusions done on 17th and 19th of January ,2022  Hrct (13/1 ) :right moderate pleural effusion ,sub segmental atelectasis changes in medical segment of right middle lobe (corads -2 )  Bleeding manifestations of patient subsided after 1 week  He didn't have any O2 requirement during his hospital stay  He got discharged on 20/1/2022  After 3 days of discharge he again had increased rise in temperature  in