AN INTERESTING CASE OF FEVER

A 38 year old female came with complaints of fever for past 10 days and abdominal distension for 5 days and dark coloured urine for 3 days. Patient went to outside hospital for the same and was investigated which was negative for malaria, widal, leptospirosis. Patient came to us for further management with difficulty in breathing, hypotension and altered liver and renal enzymes. General Examination revealed pallor, icterus. And what we clinically found out was pivotal for diagnosis