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It seems that you are suspecting that persistent fever after 30 hours of antibiotics may be related to concomitant mold affection. While this may be a possibility; but is not common. The fever usually takes 48 hours to subside (occasionally more), after starting antibiotics. Having said that, if the fever rises or do not decrease in next 12-18 hours; you may consider going to either urgent care clinic or emergency room for a revaluation. He may need a blood culture. The sharp pain in the ribs is likely due chest muscle strain resultant to coughing. But if the chest pain is moderate to severe, a chest x-ray is needed. If cough has an expectorant, a culture of it also is recommended.
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It is important to look at the few risk factors whenever one has chest pain. The chest pain can occur due to heart, lung, chest wall (rib joints and muscles) and food pipe (esophagus). So if your father has any of the following risk factors, he needs to be seen at ER;
A previous heart attack or stroke.
A family history of heart disease.
Elevated total and LDL cholesterol levels.
Low HDL level.
High blood pressure.
Stress or sedentary life style
Uncontrolled diabetes or high blood pressure.
Obesity or being overweight.
Raised high sensitivity CRP (hsCRP)
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