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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Interval Of Shivering Fever, X-ray Shows Inhomogenous Opacities And Congestion In Left Lung. On Forecox, Pan-d, Lemovac. Right Track ?

I had regular interval of shivering fever , due to which I got a chest X-ray done, and was found to have inhomogenous opacities and congestion in my left lung . This is Pulmunory TB, I understand that and the doctor has told me the same. i have been told to take Forecox tab empty stomach twice a day, once in the morning and once in the evening. While with this am taking Pan-d, Lemovac 500 too. In the first week was prescribed injections once a day from the doctor, which kept my fever in control. the problem is the moment the injections stopped, my fever with shivers was back at least twice a day with regualr intervals. the moment i take injections, the fever does not appear for around 25-26 hours and then again the cycle starts..the doctor is saying it will take a month for the fever to reduce, is this true? ..am i on the right track of medication? as the fever effects my daily work life. Additionally i am also taking Triomune 30 tabs thrice a day for HIV. Does this have anything to do with the TB medication? i am 29 years old, 5.9 in height and 58kg.. Please help as the fever is not going?
posted on Thu, 27 Sep 2012
Twitter Fri, 28 Sep 2012 Answered on
Twitter Fri, 28 Sep 2012 Last reviewed on
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General & Family Physician,  's  Response
Hi,
The type if fever you are suffering from is not classical finding in case of pulmonary tuberculosis. I would suggest you to have a sputum investigation to make the confirmation regarding the infection. AFB sputum investigation is considered to be the best investigation for the pulmonary tuberculosis.
The medication you are taking for suspected tuberculosis is ok, but this should respond in a week or two weeks. It does not take one month to relive the fever in case of tuberculosis.
Another important thing is that you are also taking medication for HIV and many times there is interaction between the HIV medication and the antitubercular drugs, you should discuss this with you doctor to make appropriate changes in the antitubercular medication.
About the injection which you were having for fever are may be the antipyretic drugs which reduces the fever for 1 day.

Thanks and take care
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Interval Of Shivering Fever, X-ray Shows Inhomogenous Opacities And Congestion In Left Lung. On Forecox, Pan-d, Lemovac. Right Track ?

Hi, The type if fever you are suffering from is not classical finding in case of pulmonary tuberculosis. I would suggest you to have a sputum investigation to make the confirmation regarding the infection. AFB sputum investigation is considered to be the best investigation for the pulmonary tuberculosis. The medication you are taking for suspected tuberculosis is ok, but this should respond in a week or two weeks. It does not take one month to relive the fever in case of tuberculosis. Another important thing is that you are also taking medication for HIV and many times there is interaction between the HIV medication and the antitubercular drugs, you should discuss this with you doctor to make appropriate changes in the antitubercular medication. About the injection which you were having for fever are may be the antipyretic drugs which reduces the fever for 1 day. Thanks and take care