[24F] Experiencing uncontrollable body shakes, high fever, and dizziness

Patient Description

A 24-year-old female presents with uncontrollable body shakes that have been occurring for approximately 2 hours. The shakes are moderate in intensity, affect both sides of the body equally, and occur at rest. The patient also reports a high fever of 101.8°F and dizziness that comes and goes, rating the dizziness as a 3 out of 10 in severity. Additionally, the patient is experiencing widespread body aches rated as 7 out of 10 in severity. The patient's blood pressure was recorded at 130/87. She has tested negative for Covid and has no known drug allergies or pre-existing medical conditions. No current medications are being taken.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible causes for your symptoms include:

  • Fever of Unknown Origin: This is a term used when a patient has a prolonged fever with no clear cause after initial medical evaluation. It can be due to various causes including infections, malignancies, or autoimmune diseases.

    • Further investigations are needed to identify the cause. This may include blood tests, imaging studies, and sometimes invasive procedures like a biopsy.
  • Infections: Viral or bacterial infections can cause fever, body aches, and sometimes shaking. Given your recent negative COVID-19 test, it's less likely to be due to that specific virus, but there are many other viruses and bacteria that could potentially be causing your symptoms.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms. If a specific bacterial infection is identified, antibiotics may be prescribed.
  • Hyperthyroidism: An overactive thyroid can cause symptoms like shaking, high blood pressure, and feeling hot. However, it's less common for it to cause a fever.

    • Treatment typically involves medication to control the overactive thyroid.
  • Anxiety or Panic Disorder: These conditions can sometimes cause physical symptoms like shaking and high blood pressure. However, they wouldn't typically cause a fever.

    • Treatment typically involves a combination of medication and therapy.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms in person and order the appropriate tests.

What you can do

  1. Monitor your symptoms: Keep track of your fever, shakes, and body aches. Note any changes in severity or frequency.
  2. Rest and hydrate: Make sure to get plenty of rest and stay hydrated. This can help your body fight off potential infections and recover.
  3. Over-the-counter medication: Over-the-counter medication like acetaminophen can help reduce fever and alleviate body aches. However, it's important to follow the instructions on the package and not exceed the recommended dose.
  4. Seek medical attention: Given the severity and duration of your symptoms, it would be a good idea to seek medical attention. Your healthcare provider can evaluate your symptoms, order tests if necessary, and provide appropriate treatment.

What you should look out for

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

  • Severe headache or neck stiffness
  • Confusion or altered consciousness
  • Difficulty breathing
  • Chest pain
  • Severe abdominal pain
  • Persistent or worsening symptoms

Remember, this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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People Also Ask


What could be causing uncontrollable body shakes and fever?

Uncontrollable body shakes and fever can be caused by various conditions, including infections, fever of unknown origin, or less commonly, hyperthyroidism. It's important to consult a healthcare provider for a proper diagnosis.


How can I manage body aches and fever at home?

To manage body aches and fever at home, ensure you get plenty of rest, stay hydrated, and consider taking over-the-counter medications like acetaminophen to reduce fever and alleviate pain. Follow the instructions on the medication package carefully.


When should I seek medical attention for these symptoms?

Seek immediate medical attention if you experience severe headache, neck stiffness, confusion, difficulty breathing, chest pain, severe abdominal pain, or if your symptoms persist or worsen.


Could anxiety or panic disorder cause these physical symptoms?

Anxiety or panic disorder can cause physical symptoms like shaking and increased heart rate, but they typically do not cause fever. If anxiety is suspected, treatment may involve medication and therapy.


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