[36F] Experiencing persistent fever and respiratory symptoms

Patient Description

A 36-year-old female presents with a persistent fever of 102°F that has been ongoing daily for 2 weeks, which temporarily subsides with Tylenol. The fever has a specific pattern, being higher in the morning and at night. Accompanying symptoms include a sore throat, fatigue, a mild dry cough that worsens with yawning, body aches, chills, and night sweats. The patient has not been tested for COVID-19. She has a history of diabetes diagnosed 19 years ago and is currently on Strattera 60 mg, Monjauaro 15 mg, Fenofibrate 125 mg, and Jardiance 25 mg, with no known drug allergies. There is no recent travel history, and the patient has not received all recommended adult vaccinations.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely diagnoses include:

  • 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 usually 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.
  • COVID-19: This is a viral infection caused by a new coronavirus introduced to humans for the first time. It is spread from person to person mainly through the droplets produced when an infected person speaks, coughs, or sneezes.

    • Treatment involves managing symptoms and supportive care. Severe cases require hospitalization. Vaccination can help prevent this disease.
  • Mononucleosis: This is a viral infection usually caused by the Epstein-Barr virus. Symptoms include fatigue, sore throat, fever, and swollen lymph nodes in the neck.

    • Treatment usually involves plenty of rest, good nutrition, and drinking lots of fluids. You can soothe a sore throat using saltwater or throat lozenges.

What you can do

  1. Get tested for COVID-19: Given the current pandemic and your symptoms, it's important to rule this out.
  2. Rest and hydrate: Regardless of the cause, your body needs energy to fight off the infection. Make sure you're getting plenty of sleep and drinking lots of fluids.
  3. Over-the-counter medication: Over-the-counter cold remedies can help with symptoms of flu and COVID-19.
  4. Stay isolated: Until you know what's causing your symptoms, it's best to stay away from others to prevent potential spread.

What you should look out for

If your symptoms worsen, you should seek medical attention immediately. This includes difficulty breathing, pain or pressure in your chest, confusion, or bluish lips or face.

Please remember, 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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10 mo ago

People Also Ask


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

Common symptoms of influenza include fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue. Treatment usually 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 COVID-19 and the flu based on symptoms?

Both COVID-19 and the flu can cause fever, cough, and fatigue, but COVID-19 may also include symptoms like loss of taste or smell, shortness of breath, and more severe respiratory issues. Testing is the most reliable way to differentiate between the two.


What is mononucleosis and what are its typical symptoms?

Mononucleosis, often caused by the Epstein-Barr virus, typically presents with symptoms such as fatigue, sore throat, fever, and swollen lymph nodes in the neck. Treatment focuses on rest, hydration, and symptom relief.


Why is it important to get tested for COVID-19 if I have a persistent fever and other related symptoms?

Getting tested for COVID-19 is important because it helps confirm the diagnosis, allowing for appropriate management and isolation to prevent spreading the virus to others. It also helps rule out other potential causes of your symptoms.


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