[28F] Experiencing fever, headache, chills, and shortness of breath

Patient Description

A 28-year-old female reports a fever ranging from 99 to 100 degrees Fahrenheit, a dull aching headache in the temples, chills, and shortness of breath with a burning sensation, particularly exacerbated by climbing stairs. These symptoms have been present all day, with the fever being on and off for a week and more pronounced over the weekend. The patient has a history of breathing difficulty diagnosed at age 8, possibly asthma, and is currently taking Aripiprazole, Guanfacine, Lexapro, and birth control. No known drug allergies. The patient also mentions a sore throat that comes and goes, a cough, and confusion, all starting today. There is no chest pain, loss of taste or smell, or any other symptoms reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've shared, you may be experiencing:

  • A Respiratory Infection: Your symptoms of fever, cough, sore throat, and shortness of breath could be indicative of a respiratory infection. This could be a common cold, the flu, or COVID-19. Given the ongoing pandemic, it's important to consider COVID-19, even though you've tested negative. Sometimes, the virus may not be detected early in the infection.

    • Treatment generally involves rest, hydration, and over-the-counter medication to manage symptoms. If it's a bacterial infection, antibiotics may be prescribed by a doctor.
  • Asthma Exacerbation: Your history of asthma and the described burning sensation when breathing could suggest an asthma flare-up. This could be triggered by a respiratory infection or other factors.

    • Treatment typically involves using a prescribed inhaler or nebulizer. If symptoms are severe or not improving, you should seek immediate medical attention.
  • Side Effects of Medication: Some of your symptoms, such as confusion and headache, could potentially be side effects of the medications you're taking, such as Aripiprazole or Lexapro.

    • If you suspect this is the case, you should consult with your doctor. Do not stop taking your medication without discussing it with your healthcare provider first.

What you can do

  1. Rest and hydrate: Make sure you're getting enough sleep and drinking plenty of fluids. This can help your body fight off an infection and manage symptoms.
  2. Monitor your symptoms: Keep track of your symptoms and seek medical attention if they worsen or persist for more than a week.
  3. Use your asthma medication: If you have a prescribed inhaler or nebulizer, use it as directed by your doctor. If your symptoms don't improve, seek medical attention.
  4. Consult with your doctor: Given your symptoms and medical history, it would be best to consult with your healthcare provider. They can provide a formal assessment and potentially order relevant tests.

What you should look out for

Seek immediate medical attention if:

  • Your shortness of breath worsens or you have difficulty speaking due to breathlessness.
  • You experience chest pain.
  • Your fever persists for more than a week or is very high (over 103°F).
  • You have difficulty staying awake or are extremely drowsy.
  • You have severe, persistent vomiting or diarrhea.

Please remember that this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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People Also Ask


What are the common symptoms of a respiratory infection?

Common symptoms of a respiratory infection include fever, cough, sore throat, runny or stuffy nose, body aches, fatigue, and shortness of breath. In some cases, it may also cause headaches and chills.


How can asthma exacerbate during a respiratory infection?

Asthma can exacerbate during a respiratory infection because the infection can cause inflammation and narrowing of the airways, leading to increased difficulty in breathing, wheezing, and a burning sensation in the chest.


What are the potential side effects of Aripiprazole and Lexapro?

Potential side effects of Aripiprazole include headache, dizziness, drowsiness, and confusion. Lexapro can also cause headache, dizziness, and confusion, along with nausea and insomnia. It's important to consult a doctor if these symptoms are severe or persistent.


When should I seek immediate medical attention for shortness of breath?

You should seek immediate medical attention for shortness of breath if it worsens, if you have difficulty speaking due to breathlessness, if you experience chest pain, or if you have difficulty staying awake or are extremely drowsy.


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