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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Measures To Reduce Fever

my dad who is 53 yrs old weight about 72 kgs..he is suffering from fever from last 10 days..i had consulted doctor he has prescribed monocef 1g injection ,calpol and bicosule vitamin tabs as well levofloxacin and zinetac after the blood,urine and cultural test...Evenafter taking these medicines, fever is not getting down..it is still 102-103F..kindly provide some due measures so that his fever gets down..
Fri, 18 Jul 2014
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General & Family Physician,  's  Response
Hello
Your father is having fever ( high grade i.e. 102-103 F ) and he took injection "ceftrizone 1 gm" ( monocef).This is effective against gram+ve -ve , anaerobes, beta lactamase.
I want to tell you that this is most potent antibiotics and in spite of this fever is not subsiding , this is a cause of concern .
While levofloxacin is also a most potent drug against many pathogens including URI .
Calpol , B COMPLES AND ZINTEC are supportive treatment .
Now fever is from 10 days so may be due to these possibilities , these include.
1 Tuberculosis , diagnosis can be confirmed by X ray chest , blood for C B C , E S R ( if very high > 80 -90 suggestive of chronic infection including tuberculosis ).
2 Typhoid fever , get in blood for WIDAL test as well as serology test for diagnostic confirmation.
3 Jaundice ( hepatitis - A , B , C E ) is another one such reason for lond duration fever , so get ion blood for HBASG .
There are so many other reasons of such fever as drug fever , carcinoma but deal as mentioned above .
Consult a physician and get his opinion as this is a cause of concern( 2nd opinion).
Good luck.
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  User's Response
HI
Thank for asking to HCM
I really appreciate your concern for your father, he is being given antibiotic and still he is in febrile state then this case need to be brought for investigation like routine blood test, urine test, x-ray study and other to find out the right etiology and this is the only option remained, better have a word with doctor, hope this information helps you, have a nice day.
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Suggest Measures To Reduce Fever

Hello Your father is having fever ( high grade i.e. 102-103 F ) and he took injection ceftrizone 1 gm ( monocef).This is effective against gram+ve -ve , anaerobes, beta lactamase. I want to tell you that this is most potent antibiotics and in spite of this fever is not subsiding , this is a cause of concern . While levofloxacin is also a most potent drug against many pathogens including URI . Calpol , B COMPLES AND ZINTEC are supportive treatment . Now fever is from 10 days so may be due to these possibilities , these include. 1 Tuberculosis , diagnosis can be confirmed by X ray chest , blood for C B C , E S R ( if very high 80 -90 suggestive of chronic infection including tuberculosis ). 2 Typhoid fever , get in blood for WIDAL test as well as serology test for diagnostic confirmation. 3 Jaundice ( hepatitis - A , B , C E ) is another one such reason for lond duration fever , so get ion blood for HBASG . There are so many other reasons of such fever as drug fever , carcinoma but deal as mentioned above . Consult a physician and get his opinion as this is a cause of concern( 2nd opinion). Good luck.