Dr. Mohammad Alamgir (Internal Medicine) needs a second opinion on this medical case.
2 yr and 6 month old male child with high grade continuous fever for 7 days with polyarticular arthritis, with body ache and tenderness of whole body, centrifugal blanching central blackened coalasing rash for 3 days. No organomegally, lymphadenopathy, active bleeding. soft palate normal and no sign of meningeal irritation painful severe tender progressive poly arthritis.
chikungunia Ab -negative,widal test negative,CRP-33 mg/l,PBF-normochromic normocytic anemia with neutrophillic leukocytosis,no abnormal cell
please help me dx and treat the pt