19 year old female who has been experiencing a persistent fever for almost 2 weeks. What could be causing it?
I am a 19 year old female who has been experiencing a persistent fever for almost 2 weeks. It has ranged from 99.8 for four days, then 100.8 for a few days, back down to 99.6 and then back up to 100.9. I have no other symptoms. No enlarged lymph nodes, no cough, no sore throat, nothing. I have no clue what could be causing this fever. I went to the doctor yesterday and they gave me prescription for azithromycin so that I wouldn't get any other infections while my immune system is down. Oh and the fever usually is worse after 5:00 pm everyday like clockwork. Any idea what could be causing it?
I am sorry to hear about your persistent fever. In cases such as this, it is critical that you undergo a thorough medical history, including questions about your occupation history, living environment, and animal exposure. You also need to undergo a thorough physical exam, and there are some basic blood tests that need to be performed. Therefore, I recommend you schedule an appointment with a different primary care doctor who can facilitate this. After undergoing an initial evaluation, you may need to see a different specialist, as well. In evaluating a fever such as yours, it is important to rule out an infectious cause. In addition to your history and physical exam, you may need to undergo a chest x-ray, complete blood count, and two sets of blood cultures to evaluate for additional evidence of infection. Many rheumatic disorders can cause a persistent fever, and it will be important to look for rashes or joint swelling that may point to such a cause. You may also need to undergo basic blood tests to look for a rheumatic disorder. Finally, although rare in someone your age, tumors can lead to persistent fever. I encourage you to see a primary care doctor to discuss these possibilities.
This answer is for general informational purposes only and is not a substitute for professional medical advice.
If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under Zocdoc’s Terms of Service.
Search for an answer:
Need More Info?