Hello doctor, I am a 28-year-old male. I am tested COVID positive on 13th May. After 20 days, I go through all blood tests in which I found serum bilirubin total is 2.8, direct-0.8 and indirect-2.0 are elevated. I am always getting a fever around 99.0 and pulse rate around 95 on resting. I also have nausea, dizziness, fatigue, and weakness. I am currently on Ursocol 300 twice daily, Pantocid 40, and Dolo 650 sos. No relief yet. Please guide me.
Hello. I went through your records (attachment removed to protect patient identity). I see that you were tested COVID positive on 13th May and your investigation was done on 30th May. It has been a month from the COVID test and two weeks passed after your LFT (liver function test). This result could be per se because of COVID itself as any viral infection is more likely to involve the liver during the course of illness and take some time for it to recover. Second possibility, all viral infections will suppress your immune system that makes you more prone for secondary infections which may lead to persistence of low-grade fever. I will suggest you to get investigated for other organ involvement also especially the kidneys and also to repeat the LFT to see what is the current status as two weeks are already passed by. CBC (complete blood count) with peripheral smear. LFT. RFT (renal function test). Malaria antigen test. ? Viral fever induced hepatitis. Continue the current medications at present.