Pyrexia of Unknown Origin: A High Suspicion of COVID-19

We report a case of pyrexia of unknown origin (PUO) in a 19-year-old male, who was admitted with a history of pyrexia for 2 weeks. The diagnosis remained uncertain despite multiple investigations and the patient subsequently had various clinical manifestations similar to those seen in coronavirus disease 2019 (COVID-19). Since it was initially presumed to be pyrexia due to viral origin or enteric fever, patient was started on empirical treatment. The diagnosis of COVID-19 was confirmed by corroborating various biochemical markers that had a greater association with COVID-19. Patient was discharged after 21 days with empirical antibiotics, anticoagulants and other supportive medications. He required no further hospital admissions and has been on regular follow-up.

A Retrospective Study to Evaluate the Outcome of Patients with Shoulder Pain

Background: Shoulder pain is a mutual and A debilitatingdiagnosis that people present with in health care that has a 1-year prevalence of up to 47% amongst the adult population.Strong evidence is found that high intensity pain and MiddleAges are related with poor outcomes. The present study aimedto evaluate the best predictors of patient outcome withshoulder pain.Materials and Methods: The present retrospective study wasconducted in the Department of orthopedics for a period of 2years. Presence of anterior or posterior drawer tests wereregarded as indicative of shoulder instability. Severe motionloss was considered if the patient had greater than 50% lack ofthe normal physiological range of motion. Patient’s werescreened on the basis of treatment received, treatmentfrequency, history, physical examination, presence ofcomorbidities and quickdash score. All the data was arrangedin a excel spreadsheet and analyzed using SPSS software.Probability value of less than 0.05 was regarded as significant.Results: There were a total of 130 subjects in the study. Therewere 55 females and 75 males in the study. The mean heightof the subjects was 171.65+/-9.22cm and the mean weight of84.32+/-19.82 Kgs. There was a significant change in thequickdash score amongst the subjects. The number of visits tothe doctor also showed significant effect.Conclusion: The quickdash score and the frequency of visitsto the health care center were important predictors of thepatient outcome in our study.