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Fever lasting 20 days 99.3 to 99.6
I having fever lasting 20 days had 4 days antibiotic cuvibact200 and 4 days Tab levifloxacin 500mg once a day .
Answers (39)
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Hi
Fever lasting continuously for 20days needs detailed evaluation.
Your urine reports state blood in urine. Possibility of urine infection is there ( if it's not menstrual blood).
Your blood cultures are normal. There is no bacteria growth from your blood. But get urine culture sensitivity done.
We need to find out if any other causes of fever are existing.for that we need detailed history and evaluation
Next Steps
feel free to consult me on practo for further evaluation and management
Health Tips
get your CBC, CRP, peripheral smear for malaria test, typhoid test, urine culture and sensitivity done.
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You have prolonged fever for 20 days despite two antibiotics (Cuvibact = faropenem and levofloxacin), so I would not start another antibiotic empirically without identifying the cause.
Your blood culture has no growth at 48 hours, but it is still an interim report; the final report is expected after 5 days. Previous antibiotics can also make a blood culture negative.
Urine shows 8â10 RBC/HPF with 1+ blood, but no nitrite, leukocyte esterase or bacteriaâso this does not strongly suggest a UTI. Microscopic hematuria should be rechecked after the acute illness.
I would advise: CBC, CRP/ESR, LFT, RFT, malaria test, dengue testing as appropriate, and further evaluation based on symptoms/examination. Please see a physician/medicine specialist promptly, rather than taking another antibiotic blindly.
Next Steps
If fever is associated with breathing difficulty, severe headache, confusion, persistent vomiting, low BP, or severe weakness â urgent hospital evaluation.
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A fever continuing for 20 days despite antibiotics needs a fresh evaluation, not another blind antibiotic.
Please get examined and review CBC, urine test, chest evaluation and other tests guided by your symptoms.
Do not extend or change antibiotics without a doctorâs advice.
Book a Practo consultation or visit me at Synergy Multispeciality Hospital, Miraj with your reports.
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Your ure results shows red blood cells. Possiblity of complicated urinary tract infection to be thought of. Do you have chills,loss of appetite, back pain? Another thing to be thought of is renal calculi and associated infection , and yet another is any auto immune disease . Needs detailed history taking and clinical examination plus labs to proceed.
Next Steps
do consult
Health Tips
do not delay
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Go for kidney function test because you have hematuria in urine test so we need Ultrasound and Kidney function test and CBC for Blood infection and HB level because you have hematuria( blood in urine).
Next Steps
KFT,CBC,USG W/A
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20 days of fever despite antibiotics warrants a systematic evaluation. I can review your symptoms, previous reports and medications during a teleconsultation and guide you on the appropriate investigations and next treatment steps. You may book a consultation with me for a detailed assessment.
Next Steps
keep cold sponging
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Needs proper evaluation regarding blood profile. Before visiting kindly measure the fever pattern.
Next Steps
Visit nearby good physician as it also need physical evaluation.
Health Tips
Don't use antibiotics without proper guidance as it may cause long term side effect.
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Hi Sir, since you are having fever since 20 days have you done any other blood tests other than Urine Examination. If not then it will be better if you do further routine blood Investigations - CBC, ESR, Complete Fever Profile including Malaria, dengue, scrub typhus, CRP, Procalcitonin.
And it will be probably helpful if you consult any general physician in a person.
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Prolonged fever despite antibiotics warrants a systematic evaluation to identify the underlying cause rather than further empirical antibiotics. Please consult a physician with all previous reports for examination and appropriate investigations.
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1/3 of food plate should contain bread ( or 4 roti ), pasta, potato and rice.
1/3 of food plate should contain fruits and vegetables.
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Thanks.
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20days is not normal.you should do a cbc with a chest x-ray.
If it is a evening or night time fever only everyday and marked loss of weight you should also test for Tuberculosis.
And also test for some other disease that causes this long fever .
Consult for mor detail talk.
Next Steps
CBC ,Chest Xray ,Test for TB
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20 days fever is surely something that needs further evaluation. I would also like to know about the clinical history and evaluation of your fever, i.e. when did it occur, how high the temperature has been since day one, if you had other asso symptoms like cough and cold or pain abdomen or nause vomiting or loose stool passage. My inbox is open for all your attention.
Next Steps
Urine examination also reveals hematuria with negligible pus cells.
Definitely I would ask you to undergo USG KUB. Also a routine CBC with PBS along with RFT and LFT.
Health Tips
Donot get these tests done without prior clinical examination by a good medical practitioner.
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Since fever is persisting over 20 days , detailed fever profile evaluation needed including Malaria, Typhoid, Dengue, leptospirosis, UTI & other related investigation.
Kindly consult with peacto or any other physician.
Next Steps
consult as early as possible
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1/1 people found this helpful
Your urine report shows some blood and red cells, though pus cells are still within the normal range. Your blood culture is only a preliminary report with no growth so far, not the final result.
Next Steps
Since fever has continued 20 days through two antibiotic courses, please see a physician in person once the final blood culture is out.
Health Tips
These reports carry a different name and age than your account profile, please confirm they're actually yours before relying on them.
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