It appears to be a gastrointestinal infection. There is high chance of it being hepatitis A or E. Get the following tests done.
1. complete liver function tests
2. CBC
3. Viral markers for Hep A, b, C, and E.
4. Urine examination.

Hello,
Thanks for posting your query. You have said you are having fever for ten days associated with chills in the evening. Also your ESR (erythrocyte sedimentation rate) and SGOT are high.A high ESR basically indicates a inflammation somewhere in the body.

SGoT, also known as AST is a liver enzyme and high levels may indicate indicate liver disease but not always. SGOT may be elevated also in cases of muscular damage.



In your case since you have both high ESR and high SGOT, you probaby have a liver infection like hepatitis A. The other signs and symtoms would be nausea, vomitting, loss of appetite, yellow discolouration of eyes and urine.

Other infections that could cause prolonged fever with chills would be malaria, pneumonia, urinary tract infection, pancreatitis etc.

Also certain autoimmune diseases like arthritis could also lead to fever with chills.

You can see your treating physician who can rule out these with with a few blood tests. He will probably advice you to go for blood smear to rule out malarial parasite, total differential blood count, urine microscopy to rule out urinary tract infection, chest x-ray for pneumonia and pancreatic enzymes.



Hope I have answered your query. Please get back if you have any further questions.





Regards