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Has he fever, nausea, vomiting, dizziness, diarrhea, cough, shortness of breath?
What is his age?
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This is likely to be an infection; usually a bacterial infection.
Yes. He should be taken to hospital.
He may need investigations and antibiotics.
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You may call ambulance.
I can understand the severity. You may give him Tylenol too and cover him with blankets. Warm drinks, like milk and soup can be given to him, which are helpful in reducing chills.