How can handle this case

17 yr old pt fever with chills 10-12 day mp smear widal negative CBC normal platlate count normal urine 3_ 4 pus cells pt took azithromycin cefexim but in fever no relief fever 101 or 104 on off plz give suggestion

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Do Repeat ESR, DO, CXR P/A, widal, Do RTPCR FOR COVID -19, Serum ADA, Any weigh loss, loss of appetite history, evening precis or sweating history, Give Tab. Ventum 500 Mg BD, Tab. DOLO 650 TDS, TAB. Pansac DSR - OD, Tab. Supradyn - Hs, Need clinical or physical examination

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A c/o viral fever not responding to given treatment Lab reports are insignificant Dear dr Anuradha Sharma i can say as per my experience in recent days this is likely a c/o covid19 fever hence adv RT pcr for covid19 Meanwhile add cap fluvir75mg 1bd for 5to 10 days Also you can add hcqs 400mg stat and 200mg od from next day for 7days Keeping followup and monitoring

Thanx dr Rajendra Rai
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? PYREXIA.. ? VIRAL FEVER.. ? UTI.. NEED'S.. URINE C AND S EXAMINATION..

Tnx Dr Rajendra Rai
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Get xray chest PA view Repeat widal May be viral Symptomatic till reports

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Get x Ray chest. RT -PCR test and follow protocols of COVID 19 . Till reports complied. PCM SOS. Azithro 500mg od Multivitamin and antioxidant orally. Good nutritious balanced diet. HCQ 400 mg stat than 200mg od.

Thanks Dr Vipin Bihari Jain
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I would suggest Urine culture And blood culture If negative then do further serology work up Follow up with CBC and PBS ESR Urine LFTs Malaria Ag

It may be viral fever but repeat test once more for r/e of urine and culture,Widal test and cbc esr.then treat accordingly

? Viral fever.. ? UTI.. Urine c and s .. test..

Thank you doctor
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viral infections it seems better to have antigen IgG/IgM test

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ADVISABLE 1. REPEAT. MP 2. BLOOD. AND. URINE...C / S

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