Jumping from 42 degrees to 65 degress on full load is big jump. The idle temps seem about right for a PIV 3Ghz. You might want to look at your lmsensors configuration (I'm guessing that's where gKrellM pulls it's temps from, at least it does on mine). The initial config had my idle at 56 degrees on a water-cooled 2800+ XP. When it was configured properly, it now shows a more realistic temp - 35 degrees at idle. The box standard CPU fan should be fine, depending on any extra case cooling and the room temperature. I wouldn't want my processor running near 65 degrees though, assuming it's correct. Maybe look at a couple of case fans front + rear to force are through to try cooling things down.
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