Hello,
Thanks for posting your query.

I have seen your reports and from the report of raised indirect bilirubin and having chills for the past 3 weeks, it is important to rule out malaria which involves high fevers, shaking chills, flu-like symptoms, and anemia.

The mainstay of malaria diagnosis has been the microscopic examination of blood using blood films (PS-MP). Malaria parasites can be identified by examining under the microscope a drop of the patient's blood, spread out as a "blood smear" on a microscope slide. You can also get blood tests done for malaria antigen.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Regards.

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Hello,

Thanks for writing back.

If there is no fever associated then it can be due to hypothyroidism (ruled out in your case),anxiety and panic attacks,hypoglycemic attacks andhyperhydrosis(excessive sweating). Sometimes, patients who have recovered from a febrile illness continue to experience chills in the convalescence period.

Get the malaria antigen test done after consulting an infectious diseases specialist. Viral infections can also present this way and should be ruled out.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Regards.

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Hello,

Thanks for writing back to me.

Blood culture is a microbiological culture of blood. It is employed to detect infections that are spreading through the bloodstream (such as bacteremia, septicemia amongst others). Since you are having chills, so your doctor may want to rule out any infection in blood.

C-reactive protein (CRP) is a protein found in the blood, the levels of which rise in response to inflammation. It develops in a wide range of acute and chronic inflammatory conditions like bacterial, viral, or fungal infections; rheumatic and other inflammatory diseases; malignancy; and tissue injury or necrosis. Your doctor may want to rule out all sources of chills and fatigue, so he is getting these tests done.

You can take an opinion from an infectious diseases specialist and get these conditions ruled out.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Regards.

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