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case of a 25 year old female with fever

This is the case of a 25-year-old female, a resident of Nalgonda, and a homemaker, who presented to the outpatient department three days ago with chief complaints of  - Generalised body pains since 9 days - Bilateral knee ankle, metacarpophalangeal joint pains since 9 days - Fever since 6 days  - Headache since 6 days  History of presenting Illness  The patient was apparently asymptomatic 9 days ago when she developed generalised body aches  which were sudden in onset, continuous, aggravated with the onset of fever and relieved on taking medication.  9 days ago, the patient also had joint pains which were present bilaterally in the knee joints, the metacarpophalangeal joints, and the ankle joints. The Joint pains were of dull character, sudden in onset, continuous,  did not cause any functional impairment, and aggravated on the onset of fever.  6 days ago , the patient developed a sudden onset, high-grade fever, associated with chills and r...

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