Answers to High fever for 8 days, still no sign of coming down

High fever for 8 days, still no sign of coming down

Hi, My daughter age 18 has fever for past 8 days. She is taking Tylenol and Ibuprofen alternatively every 4 hours but most of time she is maintaining 100-104 fever, We have been to doctor twice but they could not find any reason why she is holding temperature. During last visit doctor recommended to visit Bacterial specialist. Also to add she also have yeast infection. What could be the reason of fever and what type medication is recommended.

Male | 42 years old
Complaint duration: 8 days
Medications: Tylenol, Ibuprofen
Conditions: none

June 03, 04:26 PM

Fever is a good response and is used to kill bacteria. Studies have shown that lowering the fever with ibuprofen can cause some illnesses to go longer because the bacteria are still around. It is good to find the cause of the infection but until you get to see the bacteria specialist, do the following: NO FOOD--only clear liquids. Food causes the fever to go higher than it normally would. NO FOOD if the fever is above 99. Do not re-feed until fever is below 99 and she is hungry. Do not lower the fever with tylenol or ibuprofen. I know it's uncomfortable, but this is the body's way of killing things. Also, NO SUGAR is allowed during fever, because it lowers immune function by 50%. See my handout on fever for more information: http://drlachman.com/in-the-news/three-fever-myths-every-parent-must-learn/

reason for fever is an immune system reaction to foreign and/or autoimmune issues. your body increases the temperature to create an environment inhospitable for bacteria, viruses, bacteriophages, and fungi. by taking over the counter medication you are in essence interfering with your bodies ability to fight off infection. In some cases strong medication is necessary to help the body when the body cannot do it's job, but for most instances, it is best to support the body with nutrition, rest, light stretching and/or exercise (increases lymphatic flow) and chiropractic adjustments to facilitate nervous system function optimization.

www.discoverhealth.us

There could be a few problems, including Kawasaki disease and roseola. Kawasaki disease may have atypical presentation, making it hard to diagnose. Other diseases which are hard to diagnose but are very serious may include inner lining of the heart infection and joint infection, however both usually cause noticeable changes in the blood count. Presuming that your doctor did a blood count the likelihood of the serious diseases is low.

Hello Doctors, Thanks for your inputs. She does not have any other symptoms, no joint paint,no body pain, no cough or runny nose. I spoke to nurse today and she mentioned along with yeast infection patient may have bladder infection as patient reported pain while urinating and area is also itching, due to that Doctor has prescribed ciprofloxacin. I am copying her lab results taken 3-4 days back if this can provide some insight. As of now Nurse mentioned wait 2-3 days if Antibiotics helps other see infectious disease specialist. Please let us know your thoughts.

N/O LAB DIFFERENTIAL - Details

Component Your Value Standard Range

Absolute Neutrophils 4.9 k/cmm 1.8 - 8.0 k/cmm

Absolute Lymphocytes 1.3 k/cmm 1.1 - 4.0 k/cmm

Absolute Monocytes 0.4 k/cmm 0.2 - 0.8 k/cmm

Absolute Eosinophils 0.0 k/cmm 0.0 - 0.5 k/cmm

Absolute Basophils 0.0 k/cmm 0.0 - 0.2 k/cmm

Immature Granulocytes 0.3 % 0.0 - 0.5 %

RBC Morphology Normal

Platelet Estimate Normal

LAB COMPLETE BLOOD COUNT W/DIFF - Details:

Component Your Value Standard Range

White Blood Cell Count 6.6 k/cmm 3.8 - 11.0 k/cmm

Red Blood Cell Count 4.78 m/cmm 3.70 - 5.20 m/cmm

Hemoglobin 12.1 g/dL 11.8 - 15.5 g/dL

Hematocrit 37.0 % 35.0 - 46.0 %

Mean Corpuscular Volume 77.4 fL 80.0 - 100.0 fL

RDW 14.6 % 11.0 - 15.0 %

Platelet Count 181 k/cmm 140 - 450 k/cmm

LAB WET PREP - Details:

Component Your Value Standard Range

WETPR White Blood Cells Many None Seen - Moderate

WETPR Epithelial Cells Moderate

WETPR Yeast Few None Seen - Rare

WETPR Trichomonas None Seen None Seen

WETPR Clue Cells None Seen None Seen - Few

Wet Prep Source Labia/Vulva:

MICRO URINE CULTURE - Details:

Source Urine

Site clean catch

Urine Culture 50-100,000 col/ml Urogenital Flora / 10-50,000 col/ml Yeast No Further Identification

Urine Culture Yeast 10-50,000 col/ml No Further Identification

LAB URINE MICROSCOPIC - Details:

White Blood Cells Urine 3-4 /HPF 0 - 4 /HPF

Urine RBC 0-2 /HPF 0 - 2 /HPF

Bacteria Urine Moderate /HPF

Epithelial Cells Few /HPF

LAB URINALYSIS ROUTINE(MICRO IF POS) - Details:

Component Your Value Standard Range

Urine Type Urine:clean cat

Turbidity Hazy Clear

U Bili Small Negative

Blood Urine Trace Negative

Glucose, Qualitative U Negative mg/dL Neg-30 mg/dL

Ketones 15 Negative

Leukocyte EsteraseUrine Small Negative

Nitrite Urine Negative Negative

pH Urine 6.5 5.0-8.0

Protein Urine 30 mg/dL Neg - Trace mg/dL

U Specific Gravity 1.020 1.005 - 1.030

Urobilinogen Urine Negative Eu/dL Negative Eu/dL

You should start by following your doctors advice to consult a specialist FIRST.

He will decide the next step.

Has been 8 days straight? Or were there any days without fever? If it is really 8 straight days, a viral source is less likely, particularly without any other symptoms. Is there a rash? Are her vaccinations up to date? How is she other than the fever? Any bone/joint pain? A yeast infection (systemic not local) is very unlikely in an otherwise healthy individual. A localized infection (e.g., vaginal) would be clearly symptomatic.

She needs the following blood work, at a minimum:

a) complete blood count with differential

b) C-reactive protein

c) erythrocyte sedimentation rate

d) tick panel (if you live in an area where there are ticks)

e) HIV test (if risk factors are present)

Once these results are interpreted, she made need other tests such as a chest X-ray.

Christopher J. Russo MD FAAP

Director of Pediatrics

Director, Pediatric Hospitalist Program

Centra Medical Group

Centra Lynchburg General Hospital

Lynchburg, Virginia

it probably is viral fever,

since there are no localizing sighns it is important to r/oU. T. I>

Thanks Doctor, she doesn't have any other symptoms. Yesterday we visited again to see a Doctor, few blood tests and Urine tests were conducted and all are negative except yeast infection. yesterday Doctor prescribed Antibiotics and asked to visit infectious disease specialist if antibiotics doesn't help.

She really needs to have some blood test done along with urine test to identify the source of fever. You didn't mention what other symptom, other than fever,she is experiencing, but based on those symptoms she may have to undergo other testing such as chest x-ray, etc. yeast infection may be primary or secondary to weakened immune system. You may need to see an infectious disease specialist to rule out exotic type infections.

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High fever for 8 days, still no sign of coming down

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Molly Maloof, MD

High fever for 8 days, still no sign of coming down

Find low drug prices at local & online pharmacies

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