Doctors Lounge - Infections Answers
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Forum Name: Other infections
Question: Undiagnosed Long Term Fever
|Blondiefish26 - Fri Aug 20, 2010 10:18 pm||
I am a 33 year old female, with no past medical problems other than being diagnosed with Poly-Cystic Ovary Syndrome in 2002. I awoke from a nap on August 2nd, 2010 with a fever, which has yet to go away. On August 9th, I was diagnosed with pneumonia, however neither a course of Augmentin nor Azithromyacin did anything to relieve the symptoms. I have undergone numerous tests since (blood work, blood cultures, CT Scan on brain due to severe headaches, 2nd chest x-ray), all of which came up negative, with the exception of the chest x-ray, which I was told showed the bottom lobes of both lungs to be partially collapsed. I am not experiencing any chest pain, however I do have occasional slight shortness of breath. My heart rate has been elevated as well, as high as 120bpm that I can recall. My red and white blood cell counts are normal, as is my platelet count, and I was told that no tests showed any bacteria or reason for an infection or fever. I have now had a fever for 20 days, ranging between 99-103 degrees daily. I am also experiencing terrible sweating fits daily, to the point where I sweat though my clothes at least once a day. I have no appetite, and have lost 9 pounds in the last 20 days, and sleep very irregularly. I am unable to work, and I can hardly function on a daily basis. Can anyone assist me in determining what I should suggest my doctor test next week at an appointment I have scheduled? My doctor has discussed doing a full body scan to check for tumors as well as doing a spinal tap. Thank you in advance for your assistance.
|Dr.M.jagesh kamath - Thu Aug 26, 2010 6:12 am||
Hello,Pyrexia Of Unknown origin needs to be evaluated in terms of trying to diagnose conditions which may not manifest with typical symptoms.These would include infection(Occult sepsis,Tuberculosis,Brucellosis,Lyme disease etc),malignancy,Immunological disorders,Drug fevers,viral fevers etc.Visit to endemic areas might be a valid reason for looking out for malarial parasites and other tropical conditions manifesting as fever.Contact with birds-Psittacosis.Cat-Cat scratch disease.Brucellosis-cattle are some zoonotic infections which could be thought of.
Do give a detailed history to your physician when you meet him next.
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