undiagnosed recurrent fevers

[Deb419]

Hello,

I am looking for some ideas for my husband with the following symptoms -

1) Recurrent fevers that have been going on for 3 -4  years.  They can occur every month or two, they've gone away for 6 months twice but have come back.  They can be low grade or go up above 102.  Recently, they have been coming almost once a week and are high.  
2) They are always preceeded by a cough.  (It is not TB and he hasn't been out of the country.)
3) Painful urination when he has the

Any ideas?
Thank you.
Deb

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
Most l;abs have a fever panel that looks into all the conditions that can cause recurrent fever. Recurrent or chronic fever is seen in tuberculosis (you say ruled out, but has he been tested?), SLE, rheumatoid arthritis, Polyarteritis nodosa (PAN) and other auto immune disorders, UTI, drug fever, sinusitis, glandular fever, otitis media, IBS, HIV, STDs, endocarditis, parasitic infestations, fungal infections, lymphomas and other cancers etc. Since he has painful urination complete urological examination by an urologist is a must. Also he should get a complete examination of heart and lungs. Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!

[LivingInHope]

Regarding point 3- has he been tested with urine culture at those times for a urinary tract infection?  Has he had an intravenous pyelogram during that time?  Has he had a cystoscopy (provided no infection in urine found) to look for stones, evidence of interstitial cystitis, etc?  Has he ever had his thyroid checked for thyroiditis during those times?  See PM re: fever potential causes.