[27F] With prolonged fever and upper respiratory symptoms

Patient Description

A 27-year-old female presents with a fever persisting for over 5 days, peaking at 40.3°C, and responsive to Tylenol and Advil, with maintenance around 37.7°C. Accompanying symptoms include cold manifestations such as runny nose with green discharge, mild wet cough exacerbated when lying down, body aches, nasal congestion, loss of appetite, and significant lethargy with increased sleep duration. The patient has a history of Von Willebrand disease diagnosed in late 2022 and is currently on Advil, Tylenol, and tranexamic acid. No known drug allergies have been reported. The patient's condition is impacting daily activities, and there has been no recent weight change or history of trauma that could explain the lethargy.

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Arora's Assessment

What might be happening

Based on the symptoms you've provided, a few possible conditions could be causing your symptoms:

  • Influenza (Flu): The flu is a common viral infection that can be deadly, especially in high-risk groups. The flu attacks the lungs, nose, and throat. Symptoms include fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue.

    • Treatment typically involves rest and fluid to let the body recover. Over-the-counter medicine can help with symptoms. An annual vaccine can help prevent the flu and limit its complications.
  • Pneumonia: This is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus, causing cough with phlegm or pus, fever, chills, and difficulty breathing.

    • Treatment typically involves antibiotics, fever reducers, and cough medicine. It's important to get medical care early to prevent complications.
  • COVID-19: Although you've tested negative for COVID-19, it's still possible to have the virus given your symptoms. COVID-19 symptoms can range from mild to severe illness and appear 2-14 days after exposure.

    • Treatment involves managing symptoms, and in severe cases, hospitalization.
  • Sinusitis: This is a common condition in which the lining of the sinuses becomes inflamed. It's usually caused by a viral infection and often improves within two or three weeks.

    • Treatment usually involves self-care while the immune system clears the infection. In some cases, antibiotics may be necessary.

What you can do

You should seek medical attention given the duration and severity of your symptoms. In the meantime, here are some things you can do:

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids.
  2. Over-the-counter medication: Over-the-counter cold remedies can help with symptoms.
  3. Isolate: Until you know what's causing your symptoms, it's best to stay away from others to prevent potential spread of disease.

What you should look out for

You should 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

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

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11 mo ago

People Also Ask


What are the common symptoms of influenza and how is it treated?

Common symptoms of influenza include fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue. Treatment typically involves rest, hydration, and over-the-counter medications to relieve symptoms. An annual flu vaccine can help prevent the flu.


How can I differentiate between a common cold and sinusitis?

A common cold usually involves symptoms like a runny nose, sore throat, and mild cough, while sinusitis often includes facial pain or pressure, nasal congestion, and thick nasal discharge. Sinusitis symptoms can last longer and may require medical treatment if they persist.


What precautions should I take if I suspect I have pneumonia?

If you suspect pneumonia, it's important to seek medical attention promptly. Treatment may involve antibiotics, fever reducers, and cough medicine. Rest, hydration, and monitoring for worsening symptoms like difficulty breathing are crucial.


How does Von Willebrand disease affect the treatment of viral infections?

Von Willebrand disease is a bleeding disorder that can affect how your body handles injuries and surgeries. When treating viral infections, it's important to avoid medications that can increase bleeding risk, such as certain NSAIDs, and to consult with a healthcare provider for appropriate treatment options.


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