Workup of Pyrexia of unknown origin - 4 months Cbc. Hb - 8.1 tlc - 8700 Plt - 2 lakhs Usg - no abnormality No headache, vomiting, loostools, c/o mild breathlessness, chest Xray shows normal, urine routine normal Auscultation normal Fever profile - negative, ps for mp, weil felix , leptospira - normal Typhoid - negative, Fever everyday with chills, myalgia, Bp - 90/70mmhg Right occipital small lymphnode palpable, no acixallry lymphnodes, left inguinal lymphnode - 1.5-2cm palpable, LDH - normal Ps - normocytic normochromic anemia Brucella was done 2 months back - negative 2d echo done 2 months back - normal Inguinal ln excision biopsy is sufficinet or does it require retro peritoneal ln biopsy ?
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