Suggest treatment for fever and elevated SGPT/SGOT levels in blood
Patient: Hi, My Father is suffering from Fever since last 10-15 days. 5 days ago, the fever increased and blood report showed increased SGPT and SGOT. The chest X-ray and sonography were normal. The doctors started giving anti-biaotic injections thrice a day and a dolo 650 tablet if fever above 100F . But the fever is coming back and is upto 101F once after 6- hours. Please suggest further investigations . Doctor: please do tests for leptospirosis and tuberculosis. In leptospirosis( spread by rat s urine), the liver enzymes are elevated but bilirubin does not rise till much later. TB can also cause raised liver enzymes due to granulomatous hepatitis. there are other sinister causes lymphoma which can be diagnosed by a bone marrow biopsy if the above 2 diagnosis are ruled out.