Patient :Help needed . After 3 chemo rounds admitted to hosp with fever and chills .
Ct scan showed severe bowel inflammation .
Bowel rest 1 day.
On iv antibiotics and fluids . Unable to eat . Fever was down 4 days but today high again .
What seems to be going on . ?
Weakness as not eaten 2 weeks .
Read and understood that the patient needed admission to the hospital after 3 Chemo round with fever and chills.
Fever with chills :
Surely indicates infection and needs detailed investigations, I would advise in such a situation the following:
Blood culture and sensitivity sometimes helps a lot.
Urine culture and sensitivity.
Blood -detailed investigations.
Since CT scan shows severe inflammation of the bowel, this may be one of the reasons of fever with chill, wherein the infection is harbored by the intestine. Let the IV fluids and antibiotics along with Metronidazole, probiotics, activated charcoal tablets symptomatic and supportive treatment to be continued.
Unable to eat: not possible due to reflex mechanism of the body not allowing anything to be taken in.
Re-occurrence of the fever indicates that there may be need to change-over the antibiotic or add-on.
Parenteral (intra-venous) nutrition should be started if the patient has not eaten for 2 weeks.
May I please know the age/sex of the patient and which type of cancer and the therapy being given. Any other symptoms/ reports ?
I hope this answer helps you, please feel free to ask for further relevant queries if you need to, please give feedback.
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