Fever Unknown Origin


a woman aged 23 years with complaints of fever since 4 days ago without a reason that is not known. This woman felt the fever on day 3 but to feel the heat back to 4 days. swallow without pain, without a cough. history does not have convulsions, and other functions normally. examination of the blood pressure 130/80 mmHg, pulse 84, temperature 36.7, 20 respiration, body weight 35 kg. mucosa faring seen in the normal color, whereas in the tonsil is not visible sign of inflammation, normal urine and feces as usual. Drugs that patients take paracetamol, but the heat down just a little. We suspect this disease is likely due to the virus. But may be due to parasites or because of drugs.
treatment and the explanation
with at least some data that we acquired the disease may be diagnosed this patient is FUO, although not close the possibility that other diseases such as influenza and malaria. Therefore, we give drugs:
1. paracetamol 3X 250mg as antipiretic
2. dexametason 3X 0.5 mg of anti-inflammation
3. 3X 500mg amoxicillin antibiotic as (to keep the possibility of infection)
all the drugs we use to create a 3-day, in the hope that, if properly because of virus in 7 days to recover will own.
after that we give advice to women is to maintain food consumption, keep the good sanitation. Control after 3 days later, the patient is cured.

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