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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Fever After Infection Detected In Urine Test

Dear sir i have fracture in neck of femur right side on dated 1/4/2014 i get operated on 3 /4 /2014 under spinal anaesthesia CRIF with DSH (80 mm) two barrel plate with screws After operation i have no fever for 24 hrs but after 24 hrs i have a fever ,Doctors say this might me due to pain after operation After 3 days when Doctors saw my stich ,he said it is ok and there is no infection in local site , then he refer to physician i go through many test like urine routine and microscopy, CBC,URINE C AND S,MALERIAL PARASITE all the test were normal the following medicine was given during this period (from date 3/4/014 to 7/4/014) 1.omnikacin 500mg injection 2.fupan 40mg injection 3.justin AQ 75mg/ml 4. ringerlactate injection 500ml 5.magnex (cefoperazone + sulbactam ) injection 1gm (thrice a day ) 6. tazact 4g + 500 mg injection (Piperacillin, Tazobactam Sodium)(from date 7/4/14 to 10/4 /14 ) (thrice a day ) on dated 10/4/2014 CRP-C recative protein and Hb estimation test were done whoes report i am sending in attachment the following medicine was given during this period 1.zienem 500mg injection (thrice a day ) 2.levoflox 500 mg 3.meftal 500 mg tab on dated 14/4/2014 following test were done CRP-C recative protein ,BLOOD C AND S ,TLC, DLC, WIDAL TEST , the following medicine was given during this period 1.ccm tab 2.cap. pantocid DSR 3.zevit cap. 4.tab. azee 500mg 5.tab. montek LC 6.tab. farobact 7 tab.urispas 8.tab.lincef BD(cefixime 200mg + linezolid 600mg ) on dated 17/4/2014 following test were done taCBS, URINEROUTINE AND MICROSCOPY ,WIDAL TEST the following medicine was given during this period 1.invang injection 1 gm OD for 5 days (ertapenem sodium ) 2.tab.lincef BD(cefixime 200mg + linezolid 600mg ) 3.urilizer syrup on dated 19 /04/2014 URINE C AND S was done which show infection via klebsiella species this is due to catheter which was not changed for 9 days in the following medicine was given during this period 1.tab.lincef BD(cefixime 200mg + linezolid 600mg ) till dated 28/4/2014 2.levoflox 500mg OD 3.bactrium DS tab. (sulfamethoxazole and trimethoprim ) BD after taking 7 days course there was still fever (up to 100.5 F ) and all medicine are discontiune then i show to another physician he also repete URINE ROUTINE and URINE C AND S which also so the infection and he provide following medicine 1.TAB Rite-O-Cef CV (cefixime and potassium clavulanate ) for 14 days but after 14 days the URINE ROUTINE shows plenty of WBC and fever also exit (up to 99.8 F) after taking medicine up to 14 days on dated 15/ 05 /2014 i have stoped all the medicine and undergo URINE C AND S and URINE RE again URINE C AND S show infection but URINE RE is normal Doctors say that do not take medicine ,now the fever risesup to 99 F so i am in confuse whether i am still suffering from infection or not so kindly help me to get rid of this infection
Wed, 25 Jun 2014
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Pathologist and Microbiologist 's  Response
Hi,
You have got plenty of tests done over time, and you have been on treatment with most of antibiotics known.
If routine urine examination on microscopy do not show WBCs, it means there is no infection.
99F is not much. you can take paracetamol for it. The antibiotics must have resolved all the infections. If you get pain during micturation or fever with chills and rigors, it could be urinary tract infection.
If the fever does not come under control, other cause needs to be evaluated based on symptom development.
If you have any further queries, happy to help again.
Dr. Jyothi BL
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Suggest Medication For Fever After Infection Detected In Urine Test

Hi, You have got plenty of tests done over time, and you have been on treatment with most of antibiotics known. If routine urine examination on microscopy do not show WBCs, it means there is no infection. 99F is not much. you can take paracetamol for it. The antibiotics must have resolved all the infections. If you get pain during micturation or fever with chills and rigors, it could be urinary tract infection. If the fever does not come under control, other cause needs to be evaluated based on symptom development. If you have any further queries, happy to help again. Dr. Jyothi BL