Dr Keerthi Sree Reddy Endoori_KIMS

69 year old male patient presented to our OPD with complaints of WEAKNESS OF RIGHT LOWER LIMB FOR 4 DAYS SLURRING OF SPEECH FOR 4 DAYS Patient was apparently asymptomatic 3yrs back then all of a sudden developed Loss of speech  following binge of alcohol without any limb weakness , had a Seizure episode, then he consulted a doctor where Neuroimaging was done(CT scan), He was given Treatment accordingly. He improved and was discharged. After discharge he took medicine for 5 months. An year he had similar complaints of loss of speech following binge of alcohol , was taken to the hospital improved with glucose drip( according to the patient ). Six months back patient he developed Weakness of all four limbs  associated with Loss of speech. He was admitted in our hospital this time.He also had Seizure episodes,irritable behaviour and recovered within 5 days and got discharged , was put on medication. The evaluation included following- He used the medication for a while and t

A 48 yrs old male patient by occupation carpenter belongs to lower middle socioeconomic status came to the hospital on 16/4/19 with chief complaints of HIGH GRADE FEVER FOR 3 MONTHS, DECREASED APPETITE FOR 3 MONTHS, WEIGHT LOSS FOR 3 MONTHS Patient was apparently asymptomatic 3 months back, then in February he developed fever which was of high grade , intermittent in nature , associated with chills and rigors , relieved on medication. This continued for 2 days after which he went to a quack who treated him as having Typhoid fever with medications for 1 week. This fever was not a/w Burning micturition, ear pain, headache, rashes, generalised body pains, cough, cold, sorethroat,chest pain,palpitations,swelling of both lower limbs. With this the patient didnt have any fever episodes for the next 15 days. During this period the patient continued to have alcohol daily. After 15 days he had another episode of High grade fever. The patient was sent to a doctor this time in