WOMENS-HEALTH Messages for September, 1999: Re: stumped and would really appreciate some guidance! Fever persists

Re: stumped and would really appreciate some guidance! Fever persists

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 30 Sep 1999 18:41:47 -0500 (CDT)

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In reply to: Elizabeth: "stumped and would really appreciate some guidance! Fever persists"

At Thu, 30 Sep 1999, Elizabeth wrote: >
>To summarize a case history, here are the following symptoms and
>treatments to date and blood tests taken. What I am trying to find out
>is why I continue to run a low grade fever (98.8 morning - 99.8 night)
>and this is continuous.

I know you're concerned. Medically speaking, however, there is no such thingf as a low grade fever. It's either there or it isn't. A fever is defined as a temperature of 38.0 degrees Centigrade (100.4 degrees Fahrenheit) taken twice in a six hour period. there is normal temperature variation in all people, a "diurnal" variation with the higher temps at night.

>First 'noticed' fever in August.Had a sick member of the family and
>thought I was coming down w/the same. I did eventually and couldn't get
>rid of it for awhile. Took antibiotics for 14 days (wide spectrum) and
>then Zythromax for 5 more. Seemed to get better, sinus pain in side of
>face subsided. Still have lowgrade fever - this is the middle of
>September.
>
>Within a week - coworker brings in a new bug, I get that too - but
>doesn't seem to last but a week. The 'well' week before this second
>bout, I had an appointment w/the doctor and he prescribed allergy
>medicines to help heal the sinus areas and help me be less susceptible
>to new 'bugs'. Seemed to work. But, same low grade fever.
>
>Blood tests run in the past 3 months include all the thyroids, the B12
>level, lupus, anemia (CVC?), white blood cell count was slightly up.
>
>My question is this. I would imagine it's not a bacterial infection as
>the antiboitics would have worked. I am not currently sick. I've never
>run a slightly above temperature either - most of the time it's 98.6 or
>98.7 max.
>
>I had a number of antiimmune defiency type blood tests done as well -
>so, hope it's not pertaining to that. Those were negative.
>
>Any ideas, information, anything to help point me in the right direction
>as to how to diagnose this would be greatly appreciated. THere is a
>woman I know who's daughter has something similar.
>
>Any chance it could be from being run down? I don't have any bad habits
>(bummer ;), and am of average weight and height.
>
>Thanks!!!
>Elizabeth
>
>--
>Elizabeth
>

Don't think there's a medical problem but if your concern continues, an infectious disease expert and/or rheumatologist would be the way to go.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: 43 Day Cycle and Conception"
Previous message: Harvey S. Marchbein, M.D.: "Re: Fibroids and Severe Anemia"
In reply to: Elizabeth: "stumped and would really appreciate some guidance! Fever persists"

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