Case of patient with lower limb cellulitis

This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based input. CHEIF COMPLIANT: Pa tient complaint of fever since 5 days and vomitings since 3days ( 5-6episodes).   HISTORY OF PRESENT ILLN ESSES Patient was apparently asymptomatic1 month  back then he developed  Fever, which is high grade fever, not relieved on taking medication. H/O 5-6 episodes of vomiting , which is bilious, non projectile History of night sweatings K/c/o gangrene on finger tips No history of loss of appetite No history of short ness of breath  PAST HISTORY: Not a known case of, hypertension, diabetes,, EPILEPSY, ASTHAMA. K/c/o of tuberculosis since 15days K/ c/o SLE since 2months. H/O injury to index