A 14yr old girl came to opd with complaints of Shortness of breath

A 14 yr old girl came to opd with CHIEF COMPLAINTS : Shortness of breath since 2 days 
Vomitings since 2 days
Fever since 2 days
History of presenting illness:
Patient was apparently asymptomatic 2days ago thn she developed Shortness Of Breath which was insidious in onset, gradually progressive from grade 1 to grade 4,not associated with orthopnea,PND
FEVER which was insidious in onset, high grade ,continuous,no diurnal variation associated with chills n rigor
VOMITINGS which was 

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