Day time fever Weakness

Complain of day time fever since 10 days After five days of fever patient complain. Cough with sputum Sputum colour: white thick No chest pain Chief Complaints Day time fever range 99-101 Weakness History History of taking chloroquine alongwith zifi 200 for five days when medication taking no fever As medicine stop fever appears again. Vitals Bp: 120/76 Pulse: 80 Spi2 96 Physical Examination Temprature range 98.5 to 101 Fever survive for two to three hours then subside itself with sweat without medicine. Investigations Cbc: esr 20 Crp: 68 Chest xray show opacity in lower right region. Rapid antigen for covid negetive Diagnosis Pneumonia?? Management I start injection augmentin 1.25 gm bd iv Inj pantop Inj emeset Tab dolo 500 mg tds If someone has any opinion please advice

2 Likes

LikeAnswersShare

Fever with cough ,10 days Raised CRP. Right basal pneumonia ? COVID pneumonia Suggest CBC, inflammatory markers, DDimer, RTPCR for COVID ,CT chest Sputum for AFB and CBNATT

Thank you doctor
0

It is a clear c/o covid19 pneumonitis And should be treated under ICMR protocols So hospitalise him immediately

Thank you doctor
0

View 2 other replies

? VIRAL FEVER.. ? URTI..LRTI.. NEED'S.. SPUTUM STUDY.. RT..PCR..COVID-19.. CXR.. HRCT THORAX..

Tnx Dr Shivraj Agarwal sir
0

Start INJ. LACTAGUARD 1.5GM OD FOR 3 DAYS. INJ. VITCOFOL 2CC IM ALTERNATE DAY OJEN PLUS TABLET BD FOR 7 DAYS. DOLO 650MG BD FOR 7 DAYS. MONTAIR LC OD GRILINCTUS SYRUP 2TSP BD.

Following investigation could be advised 1) sputum for culture sensitivity and gram stain and genexpert for tuberculosis 2)Rt PCR should be done to rule out covid 3) hemogram for checking or ruling out lymphocytosis and nutrophilia. Treatment Ample fluids to keep electrolytes and fluid balance in check. Bp monitoring to check for hypotension.

It's Covid pneumonia. Hrct chest. Monitor spo2..crp, one has to use antibiotics, steroids, 02.and ramdisivir if ground glass opacity.

Thank you doctor
0

HRCT Chest

Thank you doctor
0

Rt pcr malparasite sputum afb

I do faviour of dr Agrawal sb