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Doctors' Answers to "Frequently Asked Questions" - Fevers
These comments are made for the purpose of discussion and should NOT be used as
recommendations for or against therapies or other treatments. An individual patient is
always advised to consult their own physician.
Persistent Fever [posted 1/13/99]
Question: I am taking 150 mg of seroquel a day. I have been on Seroquel almost 2
months. I am having trouble with my blood pressure in the evening being too high. It
usually reads around 140/100. Six days ago I started having some tightness in my chest.
The little finger on my left hand went numb the same day. The following day, I started
running a low grade fever. I have trouble functioning with this fever. My pulse rate is
faster than normal. I can feel my heart beating very fast at times. I had the same
symptoms one time and I found out that I was allergic to Nutrasweet. Getting to my point,
is there any chance I might be allergic to the Seroquel? I have already discussed the
possibility of NMS with my p doctor. He says no way! I can't work because of the fever. My
regular doctor says it is an infection in my sinus, but I don't feel any symptoms that
there is any infection anywhere in my body! When I wake in the morning I feel quite
normal. The fever hits about noon. This doesn't sit to well with my boss.
Answer: Well, you won't know unless you stop it for a while, usually a few
weeks. Depending on your blood pressure, you may need an additional treatment during the
High Fever [posted 1/12/99]
Question: Recently I was very sick. I had a fever of 102.6, chills, I had slept a
couple of hours a night for 3 or 4 nights, my head was stuffed and I had trouble
breathing. I was taking my regular medications and I also took Nyquil and tylenol for pain
and aches. I took a double dose of Nyquil within half an hour of each other. My son told
me that I was sitting on the edge of my bed saying I was superwoman and other off the wall
things. I don't remember anything about the following several hours after I took this. Is
this something that happens with this drug interaction? I weigh about 135 pounds. This
really scared me when he told me about this.
Answer: Well, Nyquil is about 5 different medications. The ones most likely to
produce mental status changes are the antihistamine part and the dextromethoraphan part.
Don't double medications in the future and watch for possible problems with these.
Fever [posted 1/7/99]
Question: My son (18 months) has been sick often after being in daycare for the
first time in the past 4 months. Along with his illnesses he has had a fever each and
every time, ranging from 101 to 102.3. I fear he has a deeper problem. Should I have blood
tests done checking for maybe bacterial infection, leukemia, etc.?
Answer: Kids get raging fevers when sick. It would be more worrisome if he
didn't. Get him checked out to take care of your concern, but it's probably normal.
Question: For as long as I can remember, I've had skin rashes whenever I've had a
fever. Small red spots will start showing up on my chest as soon as my fever starts to
break. Within hours I am covered with red (smooth) spots from neck to hips. Over the next
day, the dots will merge into a solid sunburn like rash and gradually fade. As I get
older, the minimum temperature at which a rash will develop has decreased. It used to take
a temperature of 102 to cause a rash, but most recently all it takes is a temperature of
100. In addition, the last 2 times I had a fever, the fading rash turned itchy and the
itchiness lasted 4-5 days. Anti-histamines helped the itchiness somewhat. Perhaps I should
start taking prescription anti-histamines as soon as I develop a fever?
Answer: I'd keep using the antihistamines.
Fever - Cocaine Use
Question: I am concerned about a friend of mine who has recently developed fever
like symptoms. She is a cocaine user, and I have heard from people of a fever called
Cotton Fever. Do you know anything about this fever and it's symptoms?
Answer: Drug users get all sorts of different fevers. These may be due to
infections (does she use it IV) to allergic reactions to different substances used to cut
the drug. You are correct to be worried. Tell her your concerns and be available to help.
However, don't be surprised if she doesn't pick up on the offer.
Question: I've been running a fever of 100-102 for 1 week. Along with this I have
had extreme swelling and soreness of the inguinal lymph nodes. Blood tests show no
infection. I'm on Cipro and cephalexin. The doctor seems to feel it's clamydia or
something of that nature, though, I have no other signs of that and have been in a
monogamous relationship for 6 years. No flu symptoms but could this indicate type a
influenza? My doctor says it's a great mystery to him and I'm getting frustrated with this
high fever which is now mostly only at night. Do you have any suggestions?
Answer: The combination of drugs that you are on is good for coverage of most
organisms including chlamydial infections. However, it is rare for chlamydial infections
to produce this sustained fever. If the nodes persist a biopsy may be in order since you
are really on a very comprehensive drug regimen.
Question: My wife has been sick for about three weeks with a bad cough and fever.
Other symptoms are weakness, tiredness, paleness and a loss of about 15 pounds. Her fever
cycles from no fever up to 102.5 degrees. All blood tests are normal. She took a full dose
of erythromycin and is now on zithromax. Is a cycling fever indicative of a viral
infection? If it's viral or bacterial, what can be done? The Navy doctor she's been seeing
is sure it's viral.
Answer: Few viruses last more than two weeks. Also, unless she is unable to eat
due to nausea, diarrhea, etc., 15 lbs. is excessive for most viruses. There are many thing
which can cause a fever other than an infection. If her fever has not cleared after two
weeks and/or if her weight loss continues she needs someone else to see her.
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