[20F] With high fever, sore throat, and additional symptoms

Patient Description

A 20-year-old female has been experiencing a constant high fever over 100°F for the last four days, peaking at 102.5°F, particularly spiking at night. Accompanying symptoms include sore throat, chills, muscle aches, loss of appetite leading to minimal food intake and vomiting, increased heart rate, difficulty breathing and swallowing, drooling, severe fatigue, and enlarged lymph nodes, indicative of possible dehydration. The patient has been taking Penicillin and Tylenol, which has not been effective in breaking the fever. There is no known history of allergies or adverse reactions to medications, and no pre-existing conditions or chronic illnesses have been reported. The patient has tested negative for COVID-19.

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Arora's Assessment

What might be happening

Based on the symptoms you've provided, the following conditions could be possible:

  • Tonsillitis: This is an infection of the tonsils that can cause symptoms such as a sore throat, difficulty swallowing, drooling, and fever. It can be caused by a variety of bacteria or viruses.

    • Treatment typically involves rest, hydration, and over-the-counter pain relievers. If the cause is bacterial, antibiotics may be prescribed by a doctor.
  • Mononucleosis: Also known as "mono" or the "kissing disease," this is a viral infection that can cause fever, sore throat, fatigue, and swollen lymph nodes.

    • There's no specific treatment for mono. Rest, good nutrition, and drinking lots of fluids are the best ways to relieve symptoms.
  • Strep Throat: This is a bacterial infection that can cause a sore throat, fever, and swollen lymph nodes.

    • Treatment typically involves antibiotics to kill the bacteria and relieve symptoms.

What you can do

You should seek immediate medical attention given your high fever and difficulty swallowing and breathing. In the meantime, here are some things you can do to help manage your symptoms:

  1. Stay hydrated: Drink plenty of fluids like water, herbal tea, or clear broths to soothe your sore throat and prevent dehydration.
  2. Rest: Your body needs energy to fight off the infection. Getting enough sleep can boost your immune system and help you recover.
  3. Over-the-counter medication: You can continue taking Tylenol to help reduce your fever and relieve pain.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms get worse or do not improve after a few days
  • You have difficulty breathing or swallowing
  • Your fever continues to be high even after taking fever-reducing medication

Remember, while I strive to provide accurate information, I'm not a doctor. Please 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 tonsillitis?

Common symptoms of tonsillitis include a sore throat, difficulty swallowing, drooling, fever, swollen tonsils, and enlarged lymph nodes. It can be caused by viral or bacterial infections.


How is mononucleosis different from strep throat?

Mononucleosis is a viral infection characterized by fever, sore throat, fatigue, and swollen lymph nodes, and it often requires rest and hydration for recovery. Strep throat is a bacterial infection that also causes a sore throat and fever but is typically treated with antibiotics.


What should I do if my fever does not go down with medication?

If your fever does not go down with medication, it is important to seek medical attention. Persistent high fever can be a sign of a more serious infection or condition that requires professional evaluation and treatment.


Why is it important to stay hydrated when experiencing these symptoms?

Staying hydrated is crucial because fever and vomiting can lead to dehydration. Fluids help maintain body functions, soothe a sore throat, and support the immune system in fighting the infection.


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