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32 year old male with fever and generalized weakness

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  32 yr old male with fever and generalized weakness    This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box NAME : G.vishal ROLL NO : 42 A 32yr old male who is a farmer by occupation was brought to casualty with  CHEIF COMPLAINTS :  FEVER since 1 week. HEADACHE since  5 days GENERALISED WEAKNESS AND JOINT PAINS HISTORY OF PRESENT ILLNESS:  Patient was apparently asymptomatic 1 week back. Then he developed fever which is moderate to high grade, intermittent ( on and off) not associated with chills and rigors. He visited a local  RMP an