I had a fever, took medicine, and recovered. However, I got fever again after 8 days (102F). I consulted a doctor who prescribed medication, but my fever persists around 100 to 101F. I underwent several tests: Typhidot IgM: Negative Blood culture: Negative CBC: Normal The doctor prescribed Taxim O and Calpol 500, and the fever subsided for 3 days but then returned to the same temperature. I switched to another doctor who ran further tests: Thyroid (T3, T4, TSH): Normal C reactive protein: Positive (43 mg/L) Liver function tests: Total bilirubin 1.5 mg/dL, Direct bilirubin 0.23 mg/dL, ALT/SGPT 79 IU/L Currently, when I take paracetamol, the fever reduces temporarily, but it returns after 5 to 6 hours. What could be the cause of this persistent low grade fever, and what should be the next steps?

Answered by 1 Apollo Doctors

Dr Bhanu Prakash

General Practitioner

MBBS
AFIH
Advanced certificate in critical care medicine
Fellowship in critical care medicine
10+ Yrs

Consult Now

Elevated CRP and ALT suggest ongoing inflammation or viral illness. Further testing like dengue or COVID may help.

Dr. Bhanu Suggests...

Take a C-REACTIVE PROTEIN (CRP) - QUANTITATIVE Test or Take a LIVER FUNCTION TEST (LFT) Test

Book C-REACTIVE PROTEIN (CRP) - QUANTITATIVE Test Book LIVER FUNCTION TEST (LFT) Test

Answered 10/09/2025

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