[22M] With fever, chills, and mouth ulcers

Patient Description

A 22-year-old male presents with symptoms of fever, frequent chills, fatigue, headache, and mouth ulcers. The chills developed gradually alongside the fever and are described as frequent throughout the day. The patient reports a very mild headache located at the base of the skull. There is no known contact with sick individuals, and the patient is currently in Korea. No specific activities or situations exacerbate the chills, and no remedies have been effective in reducing the fever. The patient has not measured their temperature. The mouth ulcer is located at the back of the throat.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—fever, headache, chills, fatigue, and mouth ulcers—there are a few possible explanations:

  • Viral Infection: Your symptoms could be due to a viral infection, such as the flu or a common cold. These infections often cause fever, chills, fatigue, and sometimes mouth ulcers.

    • Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms.

  • Mononucleosis: Also known as "mono," this is a viral infection that can cause fever, fatigue, sore throat, and mouth ulcers. It's often spread through saliva.

    • Treatment focuses on relieving symptoms, as the infection usually resolves on its own.

  • Herpes Simplex Virus (HSV): This virus can cause mouth ulcers and flu-like symptoms, including fever and chills. It's possible to contract HSV even with condom use, as it can spread through skin contact.

    • Antiviral medications can help manage outbreaks and reduce symptoms.

It's important to note that these are just possibilities, and a healthcare professional can provide a more accurate diagnosis.

What you can do

  1. Rest and Hydration: Ensure you get plenty of rest and stay hydrated. This can help your body fight off any infection.
  2. Over-the-Counter Medications: Consider taking medications like acetaminophen or ibuprofen to help reduce fever and alleviate pain.
  3. Oral Care: For mouth ulcers, you can use a saltwater rinse or over-the-counter topical treatments to ease discomfort.
  4. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • A high fever that doesn't improve with medication
  • Difficulty swallowing or breathing
  • Severe headache or neck stiffness
  • Persistent or worsening symptoms

Remember, it's always best to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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26 d ago

People Also Ask

What are common causes of fever, chills, and fatigue in young adults?

Common causes of fever, chills, and fatigue in young adults include viral infections like the flu or common cold, mononucleosis, and sometimes bacterial infections. These symptoms can also be associated with stress or other underlying health conditions.

How can mouth ulcers be treated at home?

Mouth ulcers can be treated at home by using a saltwater rinse, applying over-the-counter topical treatments, avoiding spicy or acidic foods, and maintaining good oral hygiene. Staying hydrated and using a soft-bristled toothbrush can also help.

What are the symptoms of mononucleosis and how is it spread?

Mononucleosis, often called 'mono,' is characterized by symptoms such as fever, fatigue, sore throat, and swollen lymph nodes. It is commonly spread through saliva, which is why it's sometimes referred to as the 'kissing disease.'

When should I seek medical attention for a fever?

You should seek medical attention for a fever if it is very high (above 103°F or 39.4°C), does not improve with medication, is accompanied by severe symptoms like difficulty breathing, persistent vomiting, or a severe headache, or if it lasts more than a few days without improvement.

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