48 years old male patient with low grade fever
General medicine case1 A 48 year old male patient presented to the OPD with the chief complaint of fever and swelling in the right lower limb since 4 days. History of present illness : - Patient was apparently asymptomatic 4 days back then he noticed a swelling on the right lower leg due to trauma. - The swelling is associated with pain, no discharge, no sinuses. - It is associated with low grade fever and is intermittent. - Fever is not associated with chills and rigors. History of past illness : - There is no history of diabetes, hypertension, asthma, tuberculosis, epilepsy - There is no history of surgery - The patient is a known case of filariasis of right leg 20 years ago. Personal history : - Patient has no loss of appetite - He takes mixed diet - His bowel and bladder movements are normal - He has no habits of cigarette smoking / alcohol - Low socio - economic status Family history : - No history of DM, hypertension, CAD, CVA or similar complaints in the family. Treatm