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Regarding Suspicion on Dengue
Greetings Doctor,
My father was diagnosed with Acute ischemic brain stroke on 31/08/23 and was discharged on 5/09/24.
After roughly a month i.e day before yesterday he had a fever (100-101), Consulting a Physician He Suspected Dengue or UTI, also gave some medicines and Has Suggested Some Tests for further Evaluation.
Today in the morning my father had a temperature of exactly 97°F and also pain in urinary tract is less. The Reports has also arrived (Sample was taken yesterday i.e 4/10/23)
CBC Tests
TLC-20.40
Segmented Neutrophils-86.90
Lymphocytes-7.70 Eosinophils-0.20
Neutrophils- 17.73 Platelets-172
Haemoglobin- 14
Urine Examination Test
Pus cells-72.80
Bacteria Rod-243.90
Dengue Panel
DENGUE FEVER ANTIBODY, IgG, SERUM (ELISA) Dengue Antibody, IgG-2.23,+ve
DENGUE FEVER ANTIBODY, IgM, SERUM (ELISA)
Dengue Antibody, IgM-0.32,-ve
DENGUE FEVER ANTIGEN NS1 EIA-0.19,-ve
Please Suggest what could be the possibilities
Answers (12)
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It is a case of UTI.
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It's UTI . please do Urine C/s before starting any antibiotics. Consult as soon as possible
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Connect please
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It’s UTI
Next Steps
He will be requesting Antibiotics
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Consult a local General Physician and continue injectables doctors suggests for initial 1-3 days
And go for Irvine Culture and Sensitivity under his guidance.
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Few more details needed for evaluation.
Consult immediately on practo or eight three one eight four six nine eight eight six
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Hello this is not dengue. This is a urinary tract infection.
I think your father must also have diabetes because he had a stroke. Usually UTI happen in diabetics.
He requires antibiotics. He requires both blood culture as well as urine culture with sensitivity profile.
He also requires an immediate ultrasound abdomen to see whether any big infection is happening.
My next guess is that you have your father on a catheter because of the stroke. If so the catheter can be the source of infection. Remove it and change it immediately. Start him on injection antibiotics and wait for culture reports.
This is something better treated in a hospital than online, so you need not try to connect to me.
Thanks a lot and hope your father gets better.
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Need few more details
Kindly consult
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Can help you with the next course of action and treatment plan. Would like to discuss in details and provide apt solution. Kindly consult.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Bijli Nanda
General Practitioner
7 yrs exp
Noida
He has a urinary tract infection
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
According to your query and sign and symptom you want to know about the disease and cause and it's best Treatment of acute ischemic brain.
Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life .
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