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Suggest Treatment For Chills, Nausea And Fever

Posted on Wed, 26 Nov 2014

Question: Recent visit to ER for sudden chills, fever 100, nausea, general feeling something wrong. CBC good, one vial blood culture positive for cocci, liver enzyme 1000. Sent home said probably a virus. No fever since Thursday, feel fine but worried maybe cancer? Should I go for follow up?

Answered by Dr. Deepak Kishore Kaltari (11 minutes later)

Brief Answer:
Get Ultrasound abdomen done

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear Ms

Fever associated with chills and rigors and raised Liver enzymes possibility of Hepatobiliary infection needs to be considered, especially Cholangitis (infection of common bile duct). It is less likely to be cancer related. As you are fever free with no other symptoms there is no cause for concern.

Do get Ultrasound abdomen done as a further assessment for raised Liver enzymes.

Do get back to me if you need any further assistance, will be glad to assist you.

Take Care

Best Regards
Dr Deepak Kaltari
Consultant Surgeon

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Deepak Kishore Kaltari (1 hour later)

ALP 75, ALT 13, AST 17, bilirubin .3

Answered by Dr. Deepak Kishore Kaltari (40 minutes later)

Brief Answer:
Reports are normal

Detailed Answer:
Dear Ms

The Liver function reports provided by you are well within normal limits and there is no cause for concern.

Rest be assured.

Take care

Best regards
Dr Deepak

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Raju A.T