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Undiagnosed Symptoms (Expert Forum)
Extended Fever
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Undiagnosed Symptoms forum are answered by Dr. Kevin Pho. Topics covered include breathing difficulties, feeling cold, cough, diarrhea, dizziness, fainting, fever, indigestion, itching, nausea, numbness, pain (chronic), paralysis, rash, sweating, swelling, urination problems, and vomiting.
Extended Fever
by gd2005, May 07, 2008 01:31PM
I am curious about some bizarre symptoms I have been having for the past three weeks and am wondering what the potential causes are and what tests/treatment should be done.
Symptoms:
1. Fever for 3 weeks (hectic fever?): Morning my temperature is low (98.3 degrees) and then throughout the day increases until it peaks in the late afternoon and evening around 100 degrees
2. Swollen cervical lymph node on right side of neck (painless)
3. Swollen left tonsil (painless)
4. Night sweats
5. Broken blood vessels (petechiae?) on my arms, chest, abdomen, neck, back, and legs (more appear each day)
6. Fatigue
Tests:
1. CBC (with thyroid levels) = Normal
2. TB = Negative
3. Thyroid ultrasound = Normal
4. Currently awaiting Lyme results
Tests within the past year:
1. Brain MRI = Normal
2. EEG = Normal
Background:
1. 24 year old female
2. No international travel
3. No drug use
I have discontinued all recently prescribed medication to rule out medicine-induced fevers.
Thank you for your time and opinion!
Symptoms:
1. Fever for 3 weeks (hectic fever?): Morning my temperature is low (98.3 degrees) and then throughout the day increases until it peaks in the late afternoon and evening around 100 degrees
2. Swollen cervical lymph node on right side of neck (painless)
3. Swollen left tonsil (painless)
4. Night sweats
5. Broken blood vessels (petechiae?) on my arms, chest, abdomen, neck, back, and legs (more appear each day)
6. Fatigue
Tests:
1. CBC (with thyroid levels) = Normal
2. TB = Negative
3. Thyroid ultrasound = Normal
4. Currently awaiting Lyme results
Tests within the past year:
1. Brain MRI = Normal
2. EEG = Normal
Background:
1. 24 year old female
2. No international travel
3. No drug use
I have discontinued all recently prescribed medication to rule out medicine-induced fevers.
Thank you for your time and opinion!
Doctor's Answer
by Kevin Pho, MD, May 08, 2008 01:44PM
, May 08, 2008 01:44PM
I would obtain blood cultures. A positive result should lead to an investigation of the heart to exclude endocarditis.
Further evaluation can be done to exclude lymphoma, and can be done with a CT scan. If the lymph nodes do not resolve, seeing a surgeon for a possible biopsy can be considered.
These options can be discussed with your personal physician.
This answer is not intended as and does not substitute for medical advice - the information presented is for patients education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
www.kevinmd.com
Further evaluation can be done to exclude lymphoma, and can be done with a CT scan. If the lymph nodes do not resolve, seeing a surgeon for a possible biopsy can be considered.
These options can be discussed with your personal physician.
This answer is not intended as and does not substitute for medical advice - the information presented is for patients education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
www.kevinmd.com
I do not have any body aches at all.
Thank you again!
Good luck.
Thank you so much for your time and feedback. I appreciate your assistance.