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100+ fever since 20 days
She has had a fever with temp around 99 100 every time for 20+ days. The Typhoid report said negative. Antibiotics injection ceftriaxone is being given that lowers the temp but after a full day, temp rises at night. Having weakness and leg pain, but no symptoms of cough cold or vomiting or any other symptoms
Answers (28)
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She needs evaluation to find out the cause. Ceftriaxone IV covers major bacterial infections including typhoid. If fever is persistent better to get her blood tests, chest xray and ultrasound abdomen
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feel free to consult me on practo
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Take a In Person Second Opinion
Need More Detailed Evaluation Of Patient
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Fever persisting for 20+ days despite antibiotics, with temporary response and nightly rise, is a classic presentation of Fever of Unknown Origin (FUO) that needs systematic investigation. Causes include occult infections (malaria, brucellosis, TB), autoimmune conditions, or rarely lymphomas â all need proper blood workup to rule out.
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Get CBC with differential, ESR, CRP, blood culture, malaria antigen test, Widal (repeat), urine culture, and LFT done urgently. Consult a physician in person. Please consult me directly on Practo for a detailed evaluation.
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Get CBC with differential
* ESR and CRP
* Peripheral smear and rapid test for malaria
Urine routine and culture
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You can consult me after this
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Please share detailed medical history.
Get cbc with esr , tests for typhoid, chickenguniya, urine microscopic test,x ray chest, done and share results.
Then I can help you further.
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You need more detailed history taking
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Feel free to consult
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Look for night sweats
Check you Sputum AFB
For further workup you can consult
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Test for malaria.
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Get the few test done... and consult for proper treatment.
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Does she have any burning while urination , itching??
Next Steps
complete urine examination
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As per your symptoms, these are not attributed to typhoid fever
Proper evaluation of fever should be done.
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Tab PARACETAMOL 500 mg
Get basic test done. Cbc and fever profile especially ns1 antigen for dengue
Next Steps
get cbc and fever profile
Health Tips
consume lots of fluids, juice, water, coconut water
eat lite non spicy but healthy food
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Needs proper evaluation
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Fever from 20 days , you need to consult with general physician for proper evaluation and management.
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Needs thorough evaluation beyond antibiotics. Suggest checking CBC, CRP, and other tests for cause. A consultation would help review details and guide further. Feel free to book one.
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You have to check for weight loss,swelling in axilla,groin or neck region and few blood investigations need to be done,after that you will be able to get clear picture regarding diagnosis
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Need details and more medical history. Kindly consult with me on 94 two six eight six 78 nine six.
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Consult for wider history and case understanding. Take care
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Check crp
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Mr. Darshan Dineshbhai Modi
General Physician
5 yrs exp
Ahmedabad
Require some investigation
Next Steps
proper Consultation
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further management. Kindly consult
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Go for fever profile
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Mr. Roomaan Hafeez M B
General Physician
2 yrs exp
Hosur
Mostly it may be puo (pyrexia of unknown origin) because fever for at least more then 3 weeks
We can go for some other test like mantoux test, leptospira, dengue IgM..
Next Steps
Should continue IV antibiotics
Health Tips
Avoid fast food,good hygiene,plenty of oral fluids
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