[28F] Experiencing daily fever and unexplained bruising

Patient Description

A 28-year-old female has been experiencing daily fevers with temperatures between 100 to 102 degrees Fahrenheit, typically occurring in the evenings or nights, for the past three weeks. The fevers respond to Tylenol. Additionally, she has noticed bruising on her shins, ankles, and feet, which are painful to touch and have been present for the same duration as the fever. The bruises are spread out and appeared randomly without any known injury. She reports a loss of appetite but no other symptoms such as night sweats, unusual bleeding, shortness of breath, or chest pain. She has no known drug allergies and is not on any medications. There is no significant past medical history.

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Arora's Assessment

What might be happening

Based on the information provided, the following conditions could be causing your symptoms:

  • Infectious Diseases: Certain infectious diseases can cause both fever and bruising. These include diseases caused by bacteria, viruses, or parasites. Some examples are Dengue fever, Malaria, and certain types of bacterial infections.

    • Treatment typically involves addressing the underlying infection with appropriate medications, such as antibiotics or antiviral drugs.
  • Autoimmune Diseases: Conditions such as Lupus or Rheumatoid Arthritis can cause both fever and bruising. These conditions occur when your immune system mistakenly attacks your own body.

    • Treatment usually involves medications to suppress the immune system and manage symptoms.
  • Blood Disorders: Conditions that affect the blood, such as Leukemia or Thrombocytopenia, can also cause fever and bruising. These conditions can affect the body's ability to clot blood, leading to bruising.

    • Treatment typically involves addressing the underlying blood disorder, which may include medications, blood transfusions, or in some cases, bone marrow transplant.

What you can do

Given the duration and nature of your symptoms, it is important to seek medical attention as soon as possible. A healthcare professional can provide a formal assessment and order relevant tests if necessary.

What you should look out for

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

  • Difficulty breathing or shortness of breath
  • Chest pain
  • Severe abdominal pain
  • Confusion or difficulty staying awake
  • Any other severe or worsening symptoms

Please remember that while I strive to provide accurate information, I am not a doctor. Always seek the advice of a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What could be causing my persistent fever and bruising?

Persistent fever and bruising can be caused by infectious diseases, autoimmune diseases, or blood disorders. It's important to consult a healthcare professional for an accurate diagnosis.


Are there specific tests I should ask my doctor to perform?

Your doctor may recommend blood tests, imaging studies, or other diagnostic tests to determine the underlying cause of your symptoms. These could include a complete blood count, liver function tests, or specific tests for infections or autoimmune conditions.


How can I manage my symptoms while waiting for a diagnosis?

While waiting for a diagnosis, you can manage your symptoms by taking fever-reducing medications like Tylenol, staying hydrated, and resting. However, it's crucial to follow your doctor's advice and report any new or worsening symptoms.


When should I seek immediate medical attention for my symptoms?

Seek immediate medical attention if you experience difficulty breathing, chest pain, severe abdominal pain, confusion, or any other severe or rapidly worsening symptoms.


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