So there is this patient, 31-year-old female. Her main complaint was from 19 to 20 week of pregnancy due to a one IVF conception, second-degree per- infertilization, BL tubing block, low AMH. The history of the IVF failure was seen in 2025. Her history was hy- hysteroscopic endo poly removal in January 2 026. Her past history is persistent fever, dry cough, breathlessness, pallor, and general weakness. Her-- She has history of malaria, typhoid, and was admitted in another hospital, and she has entri- intrinsic fever one month back. Her history also consists of this, uh, patient was that she was admitted in another hospital and diagnosed with malaria and LRTI and IDA thrombopenia on 26, and body transfusion and transfusion of KDH opal 26. And she, uh, started with replacement and supportive care. Patient was kept in ICU for one day and transferred to ward, and the symptoms were improved, but sh- and then she got discharged on 27th. After one day, she was again admitted because of fever, cough, breathlessness, And then she also had previous history of surgery, for example, hysteroscopic endometrial polypoid growth removal and embryo transfer. Previous treatment which she used was Azithromycin 500 mg OD, injection of metronidazole 1 mg, injection of hydrocodone 100 tds, injection of clonidine 0.6 OD. Provisional diagnosis then was hypertensive pneumon- pneumonitis, and final diagnosis were also same, but with All right. Then the medications were prescribed according to the- them, and it was Azithromycin, Emzert, Dolutegravir. Butecon, Hypoport, PCN, Montel. TVS, QD. Clampin MD Complex. Pim, damage, DEXA. Dexa, 8.0, Alfa, MFZIN. Flow 2, Clover, NS. And much more. Then according to doctor's note, she was admitted according to the history. And then... She was, uh, found presence of pneumonia, septic. Pharmaceutical PCR, and she also started having mild tachypnea, dry cough, and nausea.

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