56 yr old male with dengue fever and AKI

A 56 year old male came to casualty with h/o fever since 10 days , on and off , not associated with chills , insidious in onset, no diurnal variation.

No h/o cough, cold, headache.

H/o decreased urine output since 2-3 days.

No h/o burning micturition

Loss of appetite present.

No h/o pedal edema , hematuria, frothy urine , SOB.

Not a k/c/o DM, HTN, asthma, TB , epilepsy.

Personal History :

Appetite - decreased

Diet - mixed

Bowel and bladder movements - regular

Sleep - adequate

On examination : 

Patient was c/c/c.

CVS : S1 S2 +

RS : NVBS heard

CNS : NAD

Vitals :

Temperature - 98.6 F

Pulse rate - 92 bpm

BP - 110/70 mm Hg

RR - 16/min

SpO2 - 98% at room air

GRBS - 128 mg/dl

Investigations : 

On 7/11/21 

On 8/11/21 : 

Provisional diagnosis : 

Dengue fever with NS1 Antigen positive with renal / pre renal AKI 

Treatment : 

IVF NS, RL 100 ml/hr 

INJ pantop 40 mg/IV / stat 

INJ neomol 100 mg /iv/ if temp > 101 F 

Tab PCM 500 mg /po/od 

INJ ZOFER 4 MG / iv / sos 

INJ lasix 40 mg iv / bd , if sbp > 110 mmHg