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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Persistent Fever, Headache, Cough. Chest X-ray Shows Pleural Effusion. Using AKT-4. When Will Fever Subside?

hi....i am male 23 year old....2 months before i was having persistent fever..and i was diagnosed..with typhoid in my widal test ...i had used my medication...since then i had a mild headache....recently i had fever and cough..i went to a doctor..i had pleural effusion in my chest x ray....i had a pleural tap performed ( diagnosti} and ADA was 76.2 U/L and i was told i had tuberculosis ...i am using akt-4 since 10 days...still i had a low grade fever arpound 99.6 to 100 F ..i was wondering whether u can help me wen these fever vl subside...??
Wed, 26 Dec 2012
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General & Family Physician 's  Response
thank you.it is 10 days have passed.usually fever is subsided within 10-14 days. now headache is a concerned.there may be associated CNS TB.so CSF study and imaging of the brain is necessary.
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General & Family Physician Dr. Luchuo Engelbert Bain's  Response
Hi,
fevers with anti TB treatment generally subside after two to three weeks of treatment. Just be patient again for some time, Was wondering whether you did an HIV test too. I think its worth doing. A control Chest X ray should also be done, for persistence of pleural fluid can maintain the peak of the fevers.
Redo a Chest X ray in a week, do an HIV test and consult your physician if symptoms persist.
Thx
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Persistent Fever, Headache, Cough. Chest X-ray Shows Pleural Effusion. Using AKT-4. When Will Fever Subside?

thank you.it is 10 days have passed.usually fever is subsided within 10-14 days. now headache is a concerned.there may be associated CNS TB.so CSF study and imaging of the brain is necessary.