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What Causes Recurrent High TLC And Fever?
Question: My nephew - in law had very high fever so the doctor advised blood test when tlc count was found to be very high, medicine was prescribed for bringing down the temperature and antibiotic, reaction of this was running stomach causing weakness. Tlc count reduced but increased tlc has re-occurred and he has high fever. Please tell what disease it could be and what medication should he take. Thank you.
XXXXXXX
XXXXXXX
Brief Answer:
Kindly give some more details.
Detailed Answer:
Hello dear,
I am Dr Aslam here to help you. Can you confirm this patient's age. It's specified as male, 57 years here.
To have a clear cut ides, kindly give the following details.
1) Since when is he having fever?
2) Apart from fever, any other symptoms like cough/breathing difficulty/throat pain/ear ache, severe headache/vomiting/neck stiffness,abdominal pain/diarrhea/increased frequency or burning sensation on urination?Any tooth pain/caries?
3) Any difficulty in looking at day light(photo phobia)?
4) Any painful lump or wounds in the body?
5) Any medical illnesses/regular medications?
Also note that your report is not uploaded properly.Try re uploading.
Waiting your reply,Thank you.
Kindly give some more details.
Detailed Answer:
Hello dear,
I am Dr Aslam here to help you. Can you confirm this patient's age. It's specified as male, 57 years here.
To have a clear cut ides, kindly give the following details.
1) Since when is he having fever?
2) Apart from fever, any other symptoms like cough/breathing difficulty/throat pain/ear ache, severe headache/vomiting/neck stiffness,abdominal pain/diarrhea/increased frequency or burning sensation on urination?Any tooth pain/caries?
3) Any difficulty in looking at day light(photo phobia)?
4) Any painful lump or wounds in the body?
5) Any medical illnesses/regular medications?
Also note that your report is not uploaded properly.Try re uploading.
Waiting your reply,Thank you.
Above answer was peer-reviewed by :
Dr. Prasad
XXXXXXX has been having fever from 28th may before that he had fever about 2 weeks back when he was given a course of Ceftum ad levofloxacin for a week. This time he had fever daily from28th to 4th junfever was about 100.2 or so and then he took an anti pyretic which controlled fever for about 20 hours antibiotics given this time Ceftum 500 and Azithral 500both bd
he has no other s/s except fever and now there is no fever from 4th morning TLC count done on 6th morning was 13300 almost the same as last week Doctor has asked to continue ceftum500 bd for 1 week more and get TLC count done again after 4days
He has always had a problem of looking directly ay sunlight without sunglasses
he is taking regular medicines for heart and diabetes.
medicines at present are
galvus 50/500, glimstar 1mg, trivedon mr35, lipivas 40, ecosprin 150, monit20, metacard50 in morn and 25 in evening nikoran5,
he has no other s/s except fever and now there is no fever from 4th morning TLC count done on 6th morning was 13300 almost the same as last week Doctor has asked to continue ceftum500 bd for 1 week more and get TLC count done again after 4days
He has always had a problem of looking directly ay sunlight without sunglasses
he is taking regular medicines for heart and diabetes.
medicines at present are
galvus 50/500, glimstar 1mg, trivedon mr35, lipivas 40, ecosprin 150, monit20, metacard50 in morn and 25 in evening nikoran5,
Brief Answer:
see the detailed answer below
Detailed Answer:
Hello dear,
Thanks for the details.
So,he had an infection few weeks back,which was treated with antibiotics cefuroxime and levofloxacin,to which he responded.
As he got it again after 2weeks,azithromycin was added, and now he is responding and the infection is coming down,so not to be worried.
If the fever comes back again, we may need to have some investigations like blood culture, urine culture, CSF study etc,followed by intravenous antibiotics for a few days. Your doctor will guide in this.
For now,as your doctor advised, you continue the antibiotics and followup with him.
Meanwhile have adequate rest,a light diet rich in fruits and veges and enough fluids.
Adequate blood sugar control is necessary for smooth recovery and to prevent future recurrences.
Hope,now I have cleared your doubt. If you don't have further questions, you can close the discussion and rate the answer.
Wishing a faster cure,thank you.
see the detailed answer below
Detailed Answer:
Hello dear,
Thanks for the details.
So,he had an infection few weeks back,which was treated with antibiotics cefuroxime and levofloxacin,to which he responded.
As he got it again after 2weeks,azithromycin was added, and now he is responding and the infection is coming down,so not to be worried.
If the fever comes back again, we may need to have some investigations like blood culture, urine culture, CSF study etc,followed by intravenous antibiotics for a few days. Your doctor will guide in this.
For now,as your doctor advised, you continue the antibiotics and followup with him.
Meanwhile have adequate rest,a light diet rich in fruits and veges and enough fluids.
Adequate blood sugar control is necessary for smooth recovery and to prevent future recurrences.
Hope,now I have cleared your doubt. If you don't have further questions, you can close the discussion and rate the answer.
Wishing a faster cure,thank you.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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