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Fever during tuberculosis
Hello doctor i have pleural tuberculosis and have successfully completed my 2 months of treatment. My fluid also got absorbed after starting tuberculosis treatment but even after 2 months i have mild fever in evening ranging from 99-99.3 daily and remain till bed time.i want to ask that when will fever goes completely. Kindly reply as i could not able to contact my treating doctor due to lockdown.
Answers (12)
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I understand your concern. You may be having what we call TB associated IRIS. Kindly contact a pulmonologist regarding the same
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Hi there I can understand your concern regarding fever
99 is not high grade fever
Hope you must have gained weight during treatment
Next Steps
do cbc/ widal test
Health Tips
high protein diet and home made food
take proper hydration
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Repeat cbc esr n uric acid n XRay chest n inform
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Review with a Pulmonologist
Continue the AKT for upto 6 months
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Fever usually subsides after 2 months but varies with patient. Also it could be some other infection elsewhere or reappearance of fluid. Continue with ATT and eat healthy to improve immunity.
Next Steps
Refer to pulmonologist and get a repeat Xray and CBC.
Health Tips
Can get CBNAAT test done after lockdown.
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Dr. Sunil Kumar
Pulmonologist
13 yrs exp
Udaipur
In case of tuberculosis symptoms usually subsides in 2-3 weeks. In some cases fever is notorious. Few cases have been reported in which fever disappeared in 2 months, on the second side persistence of fever for so long may indicate treatment failure or drug resistance.
As you mentioned that fluid has reabsorbed ,have you gained weight ?
These indicates that you are improving
Get done chest x ray again and CBC
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Dr. Aditya Parihar
Pulmonologist
22 yrs exp
Nagpur
Noted your query.
As you have completed two months of intensive phase ANti Tb drugs.
Start /continue with continuation phase for another 4 mth.
You will be alright soon.
Next Steps
Fever is part of pleural TB bacilli getting killed by effective Anti TB action.
Health Tips
Take paracetamol as and when required.
Consult with your DOTS provider.
Else open online chat.
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Dr. Suruchi
Pulmonologist
18 yrs exp
Gurgaon
Mild fever can be because of persistence of infection, drug resistance, recurrence of effusion or due to any other source of infection in the body.Need proper evaluation to rule out the causes.
Next Steps
Continue your treatment
Increase high protein food
Health Tips
Consult pulmonologist or physician for evaluation.
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Dr. Varunn M D
Pulmonologist
12 yrs exp
Coimbatore
Hi.. I understand your problems. Persisting fever even after 2 months of TB treatment needs evaluation of drug resistance. Consult a Pulmonologist.
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Dr. Vishal More
Pulmonologist
12 yrs exp
Pune
99 is fine...
Fluid resolved...
It's good thing...
Continue medicines
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Dr. Amruth Sindhu
Pulmonologist
17 yrs exp
Bangalore
Hi. I understand your concern s. Fever should have gone by now. I would advise you to repeat a chest x ray and visit your treating pulmonologist
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Dr. Santosh Jha
Pulmonologist
11 yrs exp
Delhi
sometimes fever takes months to respond,but in your case fluid has responded to the treatment,so need not to worry.
work on your nutrition part,take high protein diet.
gradually you will feel better.
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