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  5. What is the recommended clinical approach for a patient presenting with a persistent fever, cough, congestion, and sore throat for five days, whose fever is refractory to standard paracetamol but temporarily responsive to ibuprofen/paracetamol combination therapy, despite negative screening tests for malaria, dengue, and typhoid?

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What is the recommended clinical approach for a patient presenting with a persistent fever, cough, congestion, and sore throat for five days, whose fever is refractory to standard paracetamol but temporarily responsive to ibuprofen/paracetamol combination therapy, despite negative screening tests for malaria, dengue, and typhoid?

Asked by Male, 40 · 8 days ago

It is very reassuring that your tests for malaria, dengue, and typhoid are negative. Since paracetamol alone isn't breaking the fever, continuing the paracetamol and ibuprofen combination temporarily is reasonable, but please follow the package dosing closely to protect your stomach and liver. Given your symptoms have lasted five days, this could be a persistent viral syndrome or a developing bacterial infection. I recommend seeing a doctor for a physical exam, particularly to listen to your lungs. In the meantime, rest, stay well-hydrated, and use warm saline gargles.
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What is the recommended clinical approach for a patient presenting with a persistent fever, cough, congestion, and sore throat for five days, whose fever is refractory to standard paracetamol but temporarily responsive to ibuprofen/paracetamol combination therapy, despite negative screening tests for malaria, dengue, and typhoid?

Answered 8 days ago

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