[21F] Experiencing fever with headache and fatigue

Patient Description

A 21-year-old female reports a constant fever localized to the face, neck, and back for a few hours without access to a thermometer to measure temperature. The fever temporarily subsides with the use of an ice pack but returns. Accompanying symptoms include a headache and fatigue, with a prior episode of nausea that has since resolved. The patient is in a cooler environment and not sweating. No neck stiffness, rash, chills, night sweats, or changes in taste or smell have been noted. There is no difficulty breathing. The patient has a history of mental illness diagnosed in May 2022 and is currently taking Lexapro, Wellbutrin, and Adderall. No known allergies or adverse reactions to medications have been reported.

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Arora's Assessment

What might be happening

Based on the information provided, here are some possible explanations for your symptoms:

  • Viral Infection: Common viral infections, such as the flu or a common cold, can cause symptoms like fever, fatigue, and headaches. These symptoms are due to your body's immune response to the virus.

    • Treatment usually involves rest, hydration, and over-the-counter medication to manage symptoms. If symptoms persist or worsen, a healthcare provider may recommend further testing or treatment.
  • COVID-19: Given the ongoing pandemic, it's important to consider COVID-19. Symptoms can vary widely but often include fever, fatigue, and headaches.

    • Testing is recommended to confirm the diagnosis. Treatment typically involves managing symptoms and isolating to prevent spreading the virus.
  • Side effects of medication: Lexapro, Wellbutrin, and Adderall can all potentially cause fever and other flu-like symptoms as side effects.

    • If you suspect your symptoms might be related to your medication, do not stop taking them without first consulting with your healthcare provider.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Monitor your symptoms: Keep track of your symptoms and any changes. This can help your healthcare provider make a diagnosis.

  2. Stay hydrated and rest: Drinking plenty of fluids and getting enough rest can help your body recover.

  3. Over-the-counter medication: Over-the-counter fever reducers, such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin), can help reduce your fever and alleviate your headache. Always follow the instructions on the package.

  4. COVID-19 test: Given the ongoing pandemic, it may be a good idea to get a COVID-19 test, especially if you've been in contact with someone who has tested positive.

What you should look out for

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

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in your chest
  • New confusion or inability to arouse
  • Bluish lips or face
  • Severe or persistent vomiting
  • Signs of dehydration (very dry mouth, no tears when crying, no urine for over 8 hours, high heart rate, dizziness)

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


Can medications like Lexapro, Wellbutrin, and Adderall cause fever and flu-like symptoms?

Yes, medications such as Lexapro, Wellbutrin, and Adderall can cause side effects that include fever and flu-like symptoms. If you suspect your symptoms are related to your medication, consult with your healthcare provider before making any changes.


What are common symptoms of a viral infection like the flu or a cold?

Common symptoms of a viral infection like the flu or a cold include fever, fatigue, headache, sore throat, runny or stuffy nose, and body aches. These symptoms are typically due to the body's immune response to the virus.


How can I differentiate between COVID-19 symptoms and a regular viral infection?

COVID-19 symptoms can overlap with those of a regular viral infection, but may also include loss of taste or smell, difficulty breathing, and persistent chest pain. Testing is the most reliable way to differentiate between COVID-19 and other viral infections.


What should I do if I suspect my symptoms are related to my medication?

If you suspect your symptoms are related to your medication, do not stop taking them without consulting your healthcare provider. They can help determine if the medication is the cause and suggest alternatives or adjustments if necessary.


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