PMCCC30082020 A 14day old male 3.3 kg arrived with c/o poor activity murmer ulcerative wounds over neck (brachial fistula?? Leismaniasis?Pressure contact ulcers??) Baby was previously on mediacation somewhere else but Discharged on attendent will,, O/E I°P°Ln°Cy°Cl° CVS murmer,,CNS normal(feed taking sucking good) TLC on previous reports 64000,,on arrival RR 54bpm Spo2 75%(off O2) P/A soft with hepatomegalae Urine stool wnl DDX septicemial with ACHD Kindly add your valuable opinion