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Low grade fevers every evening
Demographics: 29M, Indian | 180 cm, 76 kg | Ex-smoker (5 yrs) | No chronic conditions
Current Meds: Azithromycin and cefixime (recently prescribed)
History of Present Illness:
Symptoms began in August following an acute diarrheal episode:
* Cyclic Fever: Low-grade fevers spiking primarily at night (~100°F rectal).
* Heat Intolerance: Rapid overheating and severe "burning body" sensation with sun exposure or mild exertion.
* Fatigue & Malaise: Persistent, profound exhaustion since onset.
* Sleep & Endocrine: Severe insomnia (unable to sleep until morning); sudden, steep decline in libido.
Investigations to Date:
* CBC: Normal
* LFT: Normal
* Widal Test: Inconclusive(1:80)but treated by doctor as typhoid .
Normal neck ultrasound for persistent pain in neck stiffness feeling .
* Chest X-ray: attached . No clear explanation.
What could I be dealing with .
Answers (17)
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Get your malaria test done
Sputum for AFB
Thyroid profile
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X-ray chest and Blood report look fine..
Rest of your Blood investigations are within Normal range
Advice = keep continue taking
TAB AZITHROMYCIN 500 MG for 10 days and
TAB CEFIXIME 200 MG TWO TIMES for 5 days
TAB PARACETAMOL 500 MG THREE TIMES if fever persist.
Plenty of fluids
ORS packet dissolve in 1 litre of water take it few times in a day
Adequate Rest
Maintain your sleep cycle
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Heat Intolerance, Fatigue , Low Grade fever , Acute Diarrhoea possibilities of elevated Thyroid Hormones. Kindly get an TFT for the conclusion.
Next Steps
TFT
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Persistent evening fever with fatigue, heat intolerance, insomnia and reduced libido needs a fresh physician review; these symptoms should not be labelled typhoid from a single Widal result alone. A Widal titre of 1:80 is not diagnostic by itself.
Record the temperature with a reliable thermometer and carry your CBC/LFT reports, chest X-ray and all antibiotic details. Do not extend or repeat antibiotics without examination.
You may need a focused examination and targeted tests based on findings, including review of thyroid and other causes of prolonged fever.
Seek urgent care for breathing difficulty, confusion, severe weakness, dehydration or a high/persistent fever. Book a Practo consultation with me or visit Synergy Multispeciality Hospital, Miraj.
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Your fever, fatigue and drop in libido together don't fit one simple cause. This pattern needs a fresh infectious disease workup, not just more antibiotics.
Next Steps
Please see an infectious disease specialist in person, since your chest X-ray and blood work haven't explained the symptoms so far.
Health Tips
Please don't continue or add antibiotics on your own without your doctor guiding the next step.
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