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Have you been tested for Tuberculosis?
Thanks for the details
I think you should be investigated for chronic infections like Tuberculosis
That can be the cause of your problem
Other thing to look for is a lymphoma
But since the ultrasound have not shown any lymph node enlargement so tuberculosis should be ruled out first
Polycystic kidney disease can cause such symptoms if the cysts do get infected but it should respond to the antibiotic if you have been given few courses already
Please do let me know if you have any other question
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High BUN and creatinine can occur with infection or it can also occur in Polycystic kidney disease
It does not seems like typhoid if the IgM antibodies are negative
Well you can take the antibiotics and if still no improvement follow my advise for further investigations