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What causes prolonged fever?

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Posted on Tue, 7 Oct 2014
Question: doctor my mother she is suffering with fever from abt 20 days
she is admitted in hospital also
there doctors didn't find root cause of the fever
done all tests
doctor
Answered by Dr. Kaushal Bhavsar (1 hour later)
Brief Answer:
Fever in old age have many causes.

Detailed Answer:
Hi XXXXXXX Myself Dr. Kaushal Bhavsar. I am practising pulmonologist in XXXXXXX XXXXXXX XXXXXXX I have gone through all the reports you have attached with your question. from these I concludes some chronic infection is going on in her lungs.
Markers of chronic infection are
1. Low Hemoglobin.
2. High Platelet count.
3. Slightly Higher Total Count.
So these all suggest towards chronic infection. CT Thorax suggestive of consolidation in right middle lobe with enlarged lymphnode. So this might be the active foci of infection. i will advice you to consult Pulmonologist and go for Fiber optic Bronchoscopy and Broncho Alveolar lavage(BAL) analysis from the lateral segment of the right middle lobe. This will tell you about infection present or not.
I also like to comment on calcified foci in CT. This may be healed foci of childhood TB as in XXXXXXX TB is very common. and reactivation of TB in old age is quite common. So this consolidated area may be due to Reactivation TB. And Fever is the only symptom in Reactivation TB of old age, No cough, No Cavities on X Ray, No Expecroration.
So Consult Pulmonologist and discuss the chances of reactivation TB.
Hope my this answer will help you to solve your query. I will happy to help you if you have other queries. Good wishes to your mother. Thanks.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
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Answered by
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Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14644 Questions

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What causes prolonged fever?

Brief Answer: Fever in old age have many causes. Detailed Answer: Hi XXXXXXX Myself Dr. Kaushal Bhavsar. I am practising pulmonologist in XXXXXXX XXXXXXX XXXXXXX I have gone through all the reports you have attached with your question. from these I concludes some chronic infection is going on in her lungs. Markers of chronic infection are 1. Low Hemoglobin. 2. High Platelet count. 3. Slightly Higher Total Count. So these all suggest towards chronic infection. CT Thorax suggestive of consolidation in right middle lobe with enlarged lymphnode. So this might be the active foci of infection. i will advice you to consult Pulmonologist and go for Fiber optic Bronchoscopy and Broncho Alveolar lavage(BAL) analysis from the lateral segment of the right middle lobe. This will tell you about infection present or not. I also like to comment on calcified foci in CT. This may be healed foci of childhood TB as in XXXXXXX TB is very common. and reactivation of TB in old age is quite common. So this consolidated area may be due to Reactivation TB. And Fever is the only symptom in Reactivation TB of old age, No cough, No Cavities on X Ray, No Expecroration. So Consult Pulmonologist and discuss the chances of reactivation TB. Hope my this answer will help you to solve your query. I will happy to help you if you have other queries. Good wishes to your mother. Thanks.