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Intermittent Fever
My uncle had 101+ (<=102) fever for a week, recurring daily within gap of 6-8 hrs. Anticipating viral infection & since family doctor was out of station, we only used Paracetamol 650 when fever crossed 101. Conducted CBC, Urine Test & Culture, Typhoid, Typhus, Dengue, Malaria, CRP, PCT, etc. on another doctor's advice; all test results were good, except CRP and ESR (59 & 45 respectively). Family doctor returned on 8th day of fever & started Cefuroxime 500 twice daily - 7 days. After starting Cefuroxime, fever frequency reduced (1-2 times a day) and peak temps. fell below 101. CRP fell to 42. From 4th day of Cefuroxime dose, doctor started Doxycycline SL 100 twice daily - 7 days. After starting Doxycycline, for last 3 days body temp. is stable (97.8-99.4). Temp. crossed 100 once-twice but reduced on its own by slight sweating. My uncle takes high BP meds last 15 yrs and started sugar meds recently (borderline diabetic). Is fever improving? He looks fine & well. What could be the issue?
Answers (7)
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Hey there. It's a typical medicine case. You've provided a great history by the way. I see that the basic investigations are negative. Not knowing what's wrong is worse than knowing whats wrong. Next step should be doing advanced investigations like cultures, bone marrow biopsy etc. But for that you need to visit a hospital
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Kindly see a doctor in person so that a detailed evaluation can be done. Please let me know what the diagnosis was
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Connect please
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Can help you with the next course of action and treatment plan. Would like to discuss in details and provide apt solution. Kindly consult on nine zero two nine six zero zero four seven zero.
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A repeat clinical examination, and CBC should be done. If no cause is found he may have to go for blood culture
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Dr. Najeeb T
General Practitioner
9 yrs exp
Malappuram
Patient's detailed medical history is required. It is recommended to consult a doctor professional through the Practo app or visit a local medical facility for a thorough evaluation.
Please keep in mind that detailed medical history is crucial for proper diagnosis and treatment.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.