[19F] With prolonged cold symptoms and rash

Patient Description

A 19-year-old female presents with a persistent cold lasting 2 months, accompanied by body aches, chills, hot flashes, and a non-itchy, raised rash on her chest. The chills, which occur approximately four times a day, are exacerbated by physical activity. The hot flashes tend to occur during periods of inactivity, such as when lying down, and are not associated with a fever. The patient also experiences difficulty breathing and wheezing but has not had a high fever or severe shortness of breath. There is no joint pain or swelling reported. The patient has a history of hot flashes and has recently traveled to a new environment, which could be relevant to the symptoms.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions are possibilities:

  • Prolonged Viral Infection: Your symptoms of a long-lasting cold, body aches, chills, and hot flashes could be due to a prolonged viral infection. The rash could be a viral rash, which is common in many viral infections.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms. If symptoms persist, a healthcare provider may recommend further testing.
  • Mononucleosis: Also known as "mono" or the "kissing disease," this is a viral infection that can cause fatigue, sore throat, fever, swollen lymph nodes, and a rash.

    • Treatment involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Lyme Disease: This is a bacterial infection transmitted by ticks. Early symptoms may include fever, chills, headache, fatigue, muscle and joint aches, and swollen lymph nodes. A rash often appears within a week of a tick bite, but not everyone with Lyme disease gets a rash.

    • Treatment involves antibiotics prescribed by a healthcare provider.

Please note that these are possibilities based on the symptoms you've reported, and they are not a definitive diagnosis.

What you can do

  1. Rest and hydrate: Make sure to get plenty of sleep and stay hydrated. This can help your body fight off an infection and recover more quickly.
  2. Over-the-counter remedies: Over-the-counter cold remedies may help manage your symptoms.
  3. Avoid spreading the infection: If you have a viral infection, it's important to avoid close contact with others until you're no longer contagious.
  4. Seek medical attention: If your symptoms persist or worsen, it's important to seek medical attention. A healthcare provider can provide a definitive diagnosis and appropriate treatment.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or shortness of breath
  • High fever (temperature over 100.4°F)
  • Severe headache or neck stiffness
  • Rapid heart rate or chest pain
  • Confusion or difficulty staying awake
  • Rash that is spreading rapidly

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare provider for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What could cause a persistent cold lasting for two months?

A persistent cold lasting for two months could be due to a prolonged viral infection, such as a lingering upper respiratory infection, or it could be a sign of another underlying condition like mononucleosis or even an allergy. It's important to consult a healthcare provider for a proper diagnosis.


Are body aches, chills, and hot flashes common symptoms of a viral infection?

Yes, body aches, chills, and hot flashes can be common symptoms of a viral infection. These symptoms occur as the body's immune system responds to the virus. However, if these symptoms persist or are severe, it's important to seek medical advice.


What are the typical symptoms of mononucleosis?

Mononucleosis, often called 'mono,' typically presents with symptoms such as extreme fatigue, sore throat, fever, swollen lymph nodes, and sometimes a rash. It is caused by the Epstein-Barr virus and is usually spread through saliva.


How can I differentiate between a viral rash and other types of rashes?

A viral rash often appears as small, red spots or bumps and can be associated with other symptoms like fever or body aches. It usually resolves on its own as the viral infection clears. Other types of rashes, such as allergic rashes, might be itchy or have a different appearance. A healthcare provider can help differentiate between them based on the rash's characteristics and accompanying symptoms.


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