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

### input:
M y mother 78 years and family went  on a trip to a hill station (ooty,india) where it was extremely cold. My mother there itself started feeling very cold and had to be covered by two blankets. On our return back home (bombay) she was still shivering inspite of being in a hot climate.The next day she was vomiting and also had on and off fever. We took her to our family doctor and on doctor advised got her urine examined. The doctor said she has got a urine infection and treated her with antibiotics and ask us further to do a urine culture test. In the meantime before getting our report on the urine culture she developed pain on one leg especially from the thigh to the calves and there is more pain below the knee. She get walk at all on her own. She has to take support while walking. Whenever she has to get up from a sitting position from a sofa, she gets severe pain on both the legs.The after a day she started getting pain the both the legs. Both the knees are swollen more on left   leg. We took her a to an orthopedics he confirmed that she has got arthritis and started on DELTA GM and some vitamins. It has been two days since she taking these medicines, but she has no relief. On receiving the Urine culture test my family doctor has started on course of medicines and ask to do  her  blood test for malaria. The report is yet to come. Could you guide me what are complications is my mother suffering from. She is 78 years old TM

### output:

Hello there, I am Chat Doctor. Hope I have given appropriate guidance to you. Fever with chills is caused by malaria & urinary tract infection both. So I suggest you to go for urine culture and peripheral smear examination and malaria card test. Mother have more probable malarial infection because in green area like sooty mosquito are more so might they have bitten you are mother. And malaria has to be treated. This leg symptoms are probably by malarial arthritis. Follow the sensitivity pattern of urine culture and malarial treatment if it is found positive by test under guidance of your physician. If you have any query you can consult me anytime. Give me star rating, helpful vote & thank you according to your satisfaction level. Thanking you.