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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)
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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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 and CRP
* Peripheral smear and rapid test for malaria
Urine routine and culture
Next Steps
You can consult me after this
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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 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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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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