25 year old male with fever with thrombocytopenia

Patient came to the OPD with complaints of fever since 10 days.
Patient was apparently asymptomatic 10 days back then he developed fever,which is on and off,high grade fever, associated with chills and rigors.which was subsided on taking medication.After 2 days again he developed fever,for that he went to local hospital there he diagnosed with typhoid for that he used medication. After 3 days ,he had fever,which is low grade fever not associated with chills and rigors.for the he went to local hospital there he had a dengue positive.

O/E
Patient c/c/c
Afebrile
Bp:100/60
PR:75 bpm
Cvs:s1s2+
CNS:NAD+
Rs: BAE+
P/A:soft and non tender
Investigation:
ECG:
Hemogram:
Hb:15.6
TLC:7,500
Pcv:44.5
Platelets:1.17lakhs

Lft:
Tb:1.25
Db:0.48
Sgot:123
Sgpt:86

Rft:
Sodium:138
Potassium:4.5
Chloride:99
Blood urea:18
Sr.creatinine:0.7

Provisional diagnosis:

Fever with thrombocytopenia.(ns1 positive)
Treatment:
inj.pan 40 mg/iv/od
Inj.zofer 4mg/iv/sos
T.pcm 500mg/po/tid
Plenty of oral fluids

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