sir my wife had low grade fever 20days back which got subsided after using pcm 500mg but later imean after5days icame to know that she is having clay coloured stools n then ihad a  LFT done came to know thatshe had amild elevation of bilirubin like 2.5mg her sgot was60 n sgpt 102  but from last friday imean from 19 she again had a mild grade fever associated with headache where again went to a physician he  said she got malaria after getting test done n he said it was p.vivax malaria he gave a stat dose of pyrimethaminen sulfamethaxazole 1 tab before n after meal and arteether im for three days but general condition didnt improve so again went to physician he gave mefloquine  n cefpodoxime as an emperical rx for malaria aswell as for  bacterial still she is getting 102  fever which is subsiding after using pcm so igot test done again now esr is 85mm/1hr n crp 77mg/dl but her general condition was improving plz give a suggestion how to proceed further iz thr ny thing further tests to be done
Welcome, let us take one by one,1-repeat S G P T every week, if increasing, investigate for L F T, HEPATITIS A & B,2MALARIA IS TREATED BY THESE MEDICINES,3- elevated CRP values (> 40 mg/l) are typical for bacterial infections, but may also be recorded in some viral infections4-though general condition is improving, we should wait & watch, do not start antibiotics unnecessary without confirming diagnosis, it seems to be viral, take good hygienic diet, do exercise regularly contact your doctor or ask me directly. Take care