A 65 yr old female from Narketpally labourer by occupation came to the OPD with cheif complaints of Fever since6 days and burning micturition since 6 days HOPI: patient was apparently asymptomatic 6days back then she developed fever which is insidious in onset and intermittent in nature which aggravated during night and relieved on medication associated with generalised weakness and not associated with chills , rigors , cough, cold, headache, night sweat. H/O burning micturition No H/O sore throat ,vomitings since 6days difficulty in passing urine, decreased urination ,unable to pass urine without strain. PAST HISTORY Not a k/c/o DM,HTN,TB, EPILEPSY,ASTHMA,CAD 5years back patient had swelling at sacral area progressively increased in size, surgical removal was done. 2 years back patient developed tingling and numbness of lowerlimbs and used medications and was subsided.weakness of upperlimbs and lowerlimbs gradually progressed. 1year back patien...
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