<s>[INST] Dear Doctor,Hello Patient  is  with  h/o fever from 11 days,constant between99to101,initially given ciplox500-2days ,no response ceftum500-6days no response-tlc/dlc,typhi widal-u/c normal,switchto ceffixeme from one day-no running nose/red eyes.what you  suggest? should start antiviral/ again tlc/dlc/ x-ray chest today done [/INST] Thanks for posting your query to Chat Doctor. Please send me complete blood count report and x-ray report as it will help in deciding further management plan. If patient is having cough for more than 2 was go for sputum gram stain and Zn stain examination. Also send blood for culture and sensitivity .go for rapid blood test for malaria. As yr patient has taken multiple antibiotic and injudicious us of antibiotic increases chance of Chat Doctor. Review me with all report. Wish you best health.regards </s>