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What Causes Intermittent Fever Despite Taking Medication?

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Posted on Mon, 4 Jan 2016
Question: hello doctor, my friend is suffering from fever of 104 F for last 7-8 days, malaria,dengue,typhoid,tc-dc all tests are negative. She is being diagnosed by monocef 1 gm injections twice daily but its not making any upgradation in her health condition. fever appears untimely.plz help.
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Answered by Dr. Tushar Kanti Biswas (3 hours later)
Brief Answer:
Fever of unknown origin

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.

Your friend is suffering from intermittent fever since 7-8 days.As it appears ,she has been tested for malaria,typhoid,dengue fever and the reports are negative.Hence possibility of other cause of fever needs to be explored e.g urinary tract infection (UTI),as it is quite common in female .Please do Urine routine examination. Other tests which will be relevant are X-ray Chest PA View,Ultrasonography abdomen.A repeat Widal test for typhoid fever also can be undertaken to see any rise in titre.
A repeat thorough physical examination is needed to detect any fresh sign or clue e.g any lymph node enlargement .
As she is not responding to empirical Inj Monocef (Ceftriaxone) twice a day for last 4 days,any alteration in treatment will be dictated by any fresh finding clinically and on further investigation.
Discuss with her doctor.






Regards

Dr. T.K. Biswas M.D. XXXXXXX
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Tushar Kanti Biswas

Internal Medicine Specialist

Practicing since :1975

Answered : 1920 Questions

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What Causes Intermittent Fever Despite Taking Medication?

Brief Answer: Fever of unknown origin Detailed Answer: Hi, Thank you for your query. I can understand your concerns. Your friend is suffering from intermittent fever since 7-8 days.As it appears ,she has been tested for malaria,typhoid,dengue fever and the reports are negative.Hence possibility of other cause of fever needs to be explored e.g urinary tract infection (UTI),as it is quite common in female .Please do Urine routine examination. Other tests which will be relevant are X-ray Chest PA View,Ultrasonography abdomen.A repeat Widal test for typhoid fever also can be undertaken to see any rise in titre. A repeat thorough physical examination is needed to detect any fresh sign or clue e.g any lymph node enlargement . As she is not responding to empirical Inj Monocef (Ceftriaxone) twice a day for last 4 days,any alteration in treatment will be dictated by any fresh finding clinically and on further investigation. Discuss with her doctor. Regards Dr. T.K. Biswas M.D. XXXXXXX