Global Grand Rounds in ID (2023-11-22)

A 65 years male was presented with chief complains of:

• Fever for 10 days
• Breathlessness for 8 days 
• Generalized weakness and fatigue for 8 days
• Once high colored urine 4 days back

The patient was  asymptomatic 10 days back then he started getting:

• Fever which was low grade intermittent , associated with chills and relieved on taking medication
• He started developing  breathlessness for last 8 days which was gradually progressive. Initially it was on exertion which later progressed to breathlessness at rest (NYHA grade I to grade IV)