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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Fever, Weakness And Cough

Have been running a fever between 99.6 and 101 for 3-4 weeks. Cough with grey flem. I m on the second coarse of antibiotics and the fever persists 101.1 now. Taking 2 ibuprophen reduces the fever but it comes right back about ever 6-7 hours. Tired of feeling poorly. Any ideas?
Wed, 8 Jul 2015
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Diabetologist,  's  Response
Hi,

Thanks for your question.

After going through your question, I can understand your concern.

There is likely possibility of lower respiratory tract infection in you.

As you have symptoms from 3 to 4 weeks and already on 2nd course of antibiotics you need further evaluation for bacteriological diagnosis.

Possibility of Tuberculosis (TB) should be ruled out on priority.

I would like to advise you -
1) Consult your physician for detailed clinical examinations.
2) Following test help in diagnosis
- Complete blood count.
- ESR.
- Tuberculin test.
- Chest Xray.
- Sputum Examination for gram stain, Zn stain (for TB)
- Sputum culture and sensitivity.
- If required Sputum for KOH mount (for fungal infection).
- Ultrasonography of the and pelvis.

Till that time continue your antibiotics as currently taking.

Hope this helps you, if so do vote as helpful.
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Suggest Treatment For Persistent Fever, Weakness And Cough

Hi, Thanks for your question. After going through your question, I can understand your concern. There is likely possibility of lower respiratory tract infection in you. As you have symptoms from 3 to 4 weeks and already on 2nd course of antibiotics you need further evaluation for bacteriological diagnosis. Possibility of Tuberculosis (TB) should be ruled out on priority. I would like to advise you - 1) Consult your physician for detailed clinical examinations. 2) Following test help in diagnosis - Complete blood count. - ESR. - Tuberculin test. - Chest Xray. - Sputum Examination for gram stain, Zn stain (for TB) - Sputum culture and sensitivity. - If required Sputum for KOH mount (for fungal infection). - Ultrasonography of the and pelvis. Till that time continue your antibiotics as currently taking. Hope this helps you, if so do vote as helpful.