### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
dear sir,my father ,51 years of age..he has been suffering from fever of low grade i.e. upto 100.2 since 20-25 days.all medical tests were done.including tridot test,typhoid,malaria,blood culture ,urine culture,fnac.there was found an infection of e.coli in urine culture.he was treated for the same with norfloxacin for 12 days.later gentamycin i.m. for 5 days.fever was not controlled.later he took malarial drug i.e. atemether+lumifatrine for 3 more days.now our doctor has adviced us to go for biopsy..in fnac ,the report said that it might be reactive lymphadenitis.they also mentioned to go for biopsy.he was 61 kilos last month.now he is 60 kilos.what could be the reason for all these ???our doctor  is suspecting that it might T.B..is it so??/please kindlly inform me some measures.we are veru much worried about his health..pls do me a favour.

### output:

Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Swollen lymph nodes, fever, and weigh loss and variety of other negative test lead bus to the tuberculosis on your father. I advise you should test the biopsy for ZN staining, this will guide us for the tuberculosis bacilli. Once it comes positive also test for the Inexpert test. It will guide us for the possible resistant in the TB bacteria. This will help full in the treatment. The test result will be available in few hours. Please give them a mask to wear over face. This will prevent the bacilli shedding and infection to the family will be prevented. Please give them high protein diet. Avoid more spicy food. E.cold in urine may be found normally, if the colony count is more than 1 lac than we can count it as possible pathogen. You can advise them plenty of water. This will flush out some bacteria present in the urinary tract. Immediately start the therapy of the TB once diagnosed. This treatment should be taken regularly and completed. Incomplete treatment can cause resistant among the bacteria. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.