instruction: hi doctor my mom aged 45 years is having a fever for almost two months the temperature used to vary from 100 degrees celsius in the night times and gradually it comes down she was weighing 105 keg and now she is keg now she is having bone pain and light fever in the night when there is a pain in the bone she has been advised with calcium and iron tablets she is also getting her regular periods menopause has not reached yet kindly advise
output: hello the fact that she has been having fever off and on for the last two months and is a low grade fever especially in evenings with accompanied weight loss and bone pains indicates a possibility of tuberculosis infection it is better to get her mantoux test and ada adenosine deaminase levels done to rule out the same as she has been in a colder country the possibility is unlikely if she has been staying with you for more than six months or if she has recently visited you two months back then there is all possibility of her having contracted the infection from india and she carried it with her keep her well hydrated in the meantime and start multivitamin tablets daily to increase the appetite which may have also suffered a loss for last two months now please follow up with the reports