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Internal Fever. Taking Mahaflox And Mebeverine. Blood Culture Reports Normal. What Is Causing Fever?
i have internal fever about 99 to 100 every day, fever is inside chest, palm or in head , this is for almost one month, i have taken all type of treatment for viral & Malaria , now i am on Mahaflox and mebeverine , my ESR Count is 65 and WBC is 0000 , abdo sono, Chest xray, Blood Culture reports are normal this was on 16th august 2012, kindly suggest and advise
posted on
Sat, 25 Aug 2012
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 10 Oct 2013
Answered on
Fri, 11 Oct 2013
Last reviewed on
**
1. It could be possibly diagnosed as PUO [pyrexia of unknown origin] due to
. duration of fever more than 3 weeks.
. failure to reach a provisional diagnosis after one week of Investigations.
2. Do check with Neutrophil count, blood sugar,Thyroid Profile.
3. other Common causes to look out are: Drug fever, faulty thermometer, factitious fever, Extrapulmonary Tuberculosis (as chest X-ray is normal), rheumatic fever, kala azar, Vasculitis, as Sonography came normal thus Amoebic liver abscess can be excluded.
PS: Success in diagnosing PUO rests on meticulous history taking (with special reference to family, occupational, and recent travel history), and careful physical examination.
1. It could be possibly diagnosed as PUO [pyrexia of unknown origin] due to
. duration of fever more than 3 weeks.
. failure to reach a provisional diagnosis after one week of Investigations.
2. Do check with Neutrophil count, blood sugar,Thyroid Profile.
3. other Common causes to look out are: Drug fever, faulty thermometer, factitious fever, Extrapulmonary Tuberculosis (as chest X-ray is normal), rheumatic fever, kala azar, Vasculitis, as Sonography came normal thus Amoebic liver abscess can be excluded.
PS: Success in diagnosing PUO rests on meticulous history taking (with special reference to family, occupational, and recent travel history), and careful physical examination.
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