Persisting fever

[AlbertBrent]

My friend is a 47 year old man. He has been hospitalized for the past 4 months for persisting fever over 101 degrees fahrenheit and the reason has not been correctly diagnosed despite over 4 months of continuous inpatient investigation by several hospitals. On August 23rd, 2014, he was diagnosed with Tonsillitis, Hypertension, Hyponatremia, Hypokalemia and Hypoxemia by one hospital. On October  25th, 2014, he was diagnosed with Viral encephalitis, Lung infections, Sepsis，Septic shock，Liver dysfunction，Renal insufficiency，Myocardial damage，Urinary tract infections，Coagulopathy，Anemia，Hypoproteinemia，Rhabdomyolysis，Ascites，Electrotyte imbalance，Hyponatremia, Hypokalemia，Hypocalcemia, Sinus inflammation，Mastoiditis，Hypertension and  Race resistive sleep apnea syndrome by another hospital. On December 15th, 2014, he was diagnosed with Viral encephalitis, Septicemia, Lung infections, Electrolyte imbalance and Hypertension by another reputable hospital. On December,  26 2014, he was diagnosed with  stroke. After each diagnosis, he was hospitalized and treated accordingly. But conditions have not been improved and most symptoms are still present today. He is now staying in ICU and his fever is usually worse after midnight and better during the day. He cannot speak and usually loses consciousness half of the time each day.  His body temperature is usually higher each time after he starts taking medicine and drops about two days after he stops taking the medicine (but the temperature is still higher than 101 degrees most of the time).  He needs to find the right cause for the persisting fever and a plausible treatment plan. Thanks for your advice.

[Ekkiemom]

Wow he has  a few symptoms. I am so sorry he is suffering. Honestly some one at the hospital should have given him referral to specialist. The sepsis is dangerous that means a possible hole in his intestines. Get him to a gastro for the septsis that can kill him
I pray for you both
D

[TIPCrys]

Um.. A new approach? If he can handle the symptoms, get out of the hospital. Find one doctor; Possibly have to go through two or three to narrow it down to a type of specialist. Hospitals switch your primary doctor every few days, especially if you don't have private insurance and/or your primary care physcian cannot come to the hospital at least daily. I fear the encephalitis is a fall back diagnosis, because they can't find a better one. Someone needs to sit with his labs over however many months and any medical history and do a little better job at drawing a detailed picutre rather than simply ordering more new ones (same ones over) and automatically ordering same meds again. I imagine he has had many rounds of antibiotics at this point and this will make any future use of them less effective.
I would look at white blood cell counts and any excessive levels of nutrients/metals/etc. My experience in renal related, but this vaguely reminds me of Calciphylaxis. Wherein the body has too much of something and it is choking out the functions of the body.
You are wonderful to care and to take action. I sincerely hope it turns out to be very simple and just a different type of antibiotic would do it...
Any existing conditions prior to these symptoms should help narrow down ideas as well.
Best wishes to you both. Please feel free to update and/or contact.