[18M] With headache, fever, and neurological symptoms

Patient Description

An 18-year-old male presents with a constant squeezing headache located on the forehead, rated 5/10 in intensity, which worsens with movement and starts mid-morning. The headache has been persistent for 4 days. Accompanying symptoms include a sore throat, fever of 101.6°F, chills, neck stiffness, and sensitivity to light and confusion, but no rashes. The patient has no known drug allergies, no pre-existing conditions, and is currently taking ibuprofen with no relief from symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Influenza (Flu): This viral infection can cause fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antiviral medication may be prescribed by a doctor if the flu is caught early.
  • Meningitis: This is an inflammation of the protective membranes covering the brain and spinal cord, known as the meninges. It can cause symptoms like fever, headache, stiff neck, sensitivity to light, and confusion.

    • Treatment depends on the cause of the meningitis. Bacterial meningitis is a medical emergency requiring immediate antibiotic treatment. Viral meningitis often resolves on its own, but medical attention is still necessary.
  • Mononucleosis (Mono): This is a viral infection that can cause symptoms like fatigue, sore throat, fever, swollen lymph nodes, and headaches.

    • Treatment typically involves rest, hydration, and over-the-counter remedies.

What you can do

You should seek immediate medical attention given the severity and duration of your symptoms, particularly your headache, fever, and confusion. These could be signs of a serious condition like meningitis, which requires immediate treatment.

In the meantime, continue to rest, stay hydrated, and take over-the-counter pain relievers as needed.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • A severe headache that is the worst you've ever had
  • A sudden high fever
  • A stiff neck, especially if it's associated with a high fever and headache
  • Seizures
  • Difficulty staying awake or waking up
  • Difficulty walking or talking

Please remember that while I strive to provide accurate information, I am not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of meningitis?

Common symptoms of meningitis include a severe headache, fever, neck stiffness, sensitivity to light, confusion, and sometimes a rash. It's important to seek medical attention if you suspect meningitis.


How can I differentiate between the flu and meningitis?

While both the flu and meningitis can cause fever and headache, meningitis often includes neck stiffness, sensitivity to light, and confusion. Meningitis symptoms can be more severe and require immediate medical attention.


What should I do if over-the-counter medications are not relieving my headache?

If over-the-counter medications like ibuprofen are not relieving your headache, and you have other concerning symptoms like fever and confusion, it's important to seek medical attention to rule out serious conditions like meningitis.


When should I seek immediate medical attention for a headache?

You should seek immediate medical attention for a headache if it is the worst you've ever had, is accompanied by a high fever, neck stiffness, confusion, seizures, or if you have difficulty staying awake or waking up.


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