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Unknown Fever for 10 days
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Unknown Fever for 10 days

I was wondering what could be the causes of my fever, headache, and neck pain. on 8/11 started running 101 fever. 3 days prior had dental work (temp crown). on 8/12 went to doctor and cbc showed slighly elevated white blood cells 11.5. sed rate showed inflammation - 45. Doc gave 2gram zmax liquid. 0n 8/14 still had fever, headache. Fever as high as 103.5. New cbc showed white blood cells went down to 7. Doc gave levaquin 500mg. started taking on 8/15. Still had steady fever, worse headache (front of head, pain under eyes and neck pain). On 08/17 fever went down to 99.5-101 on average. Headache and neck pain still there. On 8/19 went to ER since still having fever and pain. They did a urine analysis which showed I was dehydrated and gave fluids. Took chest x-ray (normal), ekg (normal except elevated resting heart rate 107). CBC was 8 for white blood cells. Also gave torodal injection and told to take ultracet for pain. on 8/20 woke up 6 hours after ultracet with 117 resting heart rate. went back to doctor and they did another chest x-ray (normal) and ekg (normal), cbc 8.0 white blood cell, sed rate showed a slight increase in inflammation since first test the week prior. Told to finish taking levaquin. Doc compared the x-rays and ekgs to see if there was any difference in case of endocarditis. Doc also took blood to test for blood posioning but won't have results until tuesday. So now it has been 10 days still have a low grade fever 99.5-100.8, still have headache, and neck pain (nobody thinks menningitis (meningitis) neck is flexable). Even though fever is lower I feel worse. So to sum it up - 5 days fever 101-103.5 and 5 days of fever 99.5-101. Any other possiblities? could it be a virus?
could the antiboitic be causing the fever to stick around? I have no other major health problems stomach pain in July and an inflammed small intestine. Biopsies were normal. I haven't had a fever in the last 12 years. Never had one last more then 3-5 days. None of the other family members in house have been sick.
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I am not aware of a cause for the antibiotic leading to fever.  

I agree that endocarditis needs to be ruled out.  Multiple sets of blood cultures can be done, however an echocardiogram needs to be considered for a more definitive evaluation.  

Another consideration would be a CT scan of the abdomen and pelvis looking for abscess.  A tagged WBC study can be considered as well to look for an uncommon source of infection.  

I would discuss these options with your personal physician.  A referral to an infectious disease physician can be considered for a more comprehensive evaluation.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
i would also ask for a ct of your sinuses  or head since you had dental work prior to all may be stemming from you dental work and maybe you have an abscess in your sinuses or somewhere in your head....good luck
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