Chief complaints: Fever since 1month (sep15th) Burning micturition for 10days (sep15th -25th) Abdominal pain since 1month Decreased appetite since 20 days HISTORY OF PRESENTING ILLNESS: A 72 year post menopausal female , came to casualty with complaints of fever since sep15th ( 36th day of illness). Fever was high grade with evening rise in temperature associated with chills and rigors, not associated with nausea and vomiting/headache/cold/cough . She was treated with oral medicines on day 2 of illness,But fever dint subside . Not associated with loose stools /blood in stools On 2nd October (17th day of illness ) she was given IV antibiotics for 2 days , and was on antipyretics From 9th October she had feverspike , she consulted a doctor, she was started on inj. Magnexforte and Tab. Farepeneum 200mg for a week. “presented to outside hospital with fever , right hypochondriac pain and nausea , she was clinically as SEPSIS WITH MODS, surgical opinion was taken and adviced for lap c