well, my wife is having feveR from the past 17 days.initially it was 101-102 thten it progessed till 105 now its going uptill 103.she was treated with ceftriaxone1 gm BD or 5 days then tazobactom 4.5gm TID for 5 days.she developed skin rashes at the end of 4th day of ceftriaxone. right now she is under Ornifloxone+ofloxine from 3 days.fever comes daily twice in morning and evening.all tests r negative
dengue twice was negative, hepatitis b ,hepatitis c, hiv,widal,malaria v and f ,cbp,cue,lft were done
liver enzymes are high
sgot 35 ou/l
wbc = 10200
rubella virus negative
weil felix negative
usg scaN HEPATOSPLENOMEGALY, THICKENED GALL BLADDE WITH PEICHOLECYSTIC EDEMA
CT SCAN OF CHEST NORMAL
PAUL BUNNEL TEST NEGATIVE
PATIENT WAS CHRONIC ITP CASE. WAS TAKING STEROIDS FROM PAST 3 MONTHS.FIRST 20 DAYS SHE TOOK 40 MG PREDNISOLONE PER DAY
THEN 40 MG DEXAMETHASONE FOR 3 DAYS THEN TAPERING FOR 3 DAYS CONSTITUTING ONE BLOCK, THEN LEAVE A GAP OF A WEEK AND START DEXA BLOCK ONCE AGAIN.SHE TOOK 5 BLOCKS.
THEN SHE TOOK DAPSONE 100 MG FOR 20 DAYS.ON THE ONSET OF FEVER SINCE 9 AUG, DAPSONE IS DISCONTINUED.
INITIALLY IN FEVER SHE HAD VOMITINGS, BUT THEY HAVE SUBSIDED AFTER GIVING ONDESTRON
WEIGHT 60 KGS
NOW RASHES R GOING DUE TO PREDNISOLONE BUT FEVER COMES EVERY DAY.PLZ ADVISE.NO DIAGONASIS IS DONE.DOCTORS R EXPECTING VIRAL FEVER