[37M] Experiencing fever, headache, and sensitivity to light

Patient Description

A 37-year-old male has been experiencing an intermittent low-grade fever ranging from 100.4 to 101 degrees Fahrenheit for 13 days, despite being on antibiotics (Doxycycline) for 3 days. The patient reports a constant headache above the eyes, rated at a moderate intensity of 5 out of 10, and has been present for 1 day. The patient also experiences sensitivity to light and difficulty concentrating, along with icy cold hands and feet, and chills. The patient has tested negative for COVID-19, has no known pre-existing conditions or allergies, and is not taking any medications other than Doxycycline.

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Arora's Assessment

What might be happening

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

  • Infection: Given the persistence of your fever for 13 days, an ongoing infection is a possibility. The fact that you're on doxycycline, an antibiotic, suggests that your doctor may have suspected this. However, if your symptoms have not improved, the infection may not be responding to the antibiotic, or the initial diagnosis might have been incorrect.

    • Treatment for infections typically involves antibiotics or antiviral medications, depending on the cause of the infection.
  • Meningitis: This is an inflammation of the membranes surrounding your brain and spinal cord. It's usually caused by a viral infection, but bacterial, parasitic, and fungal infections can also lead to meningitis. Your headache, sensitivity to light, and difficulty concentrating could be symptoms of this condition.

    • Treatment for meningitis varies depending on the cause. Bacterial meningitis can be life-threatening and requires immediate antibiotic treatment. Viral meningitis often resolves without treatment, but severe cases may require hospitalization.
  • Drug-induced fever: Some medications, including antibiotics like doxycycline, can cause a drug fever. This is a fever that occurs without any signs of infection after starting a new medication.

    • Treatment typically involves stopping the medication causing the fever.

What you can do

You should seek immediate medical attention. Your symptoms, particularly the persistent fever and new onset headache, are concerning and should be evaluated by a healthcare professional as soon as possible.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • A severe headache or a headache that is getting progressively worse
  • A stiff neck
  • Sensitivity to light
  • Confusion or difficulty staying awake
  • Seizures
  • Difficulty breathing
  • A rash, especially one that does not fade under pressure

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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11 mo ago

People Also Ask


What could cause a persistent low-grade fever despite being on antibiotics?

A persistent low-grade fever despite being on antibiotics could be due to an infection that is not responding to the current antibiotic, a misdiagnosis of the infection type, or a non-infectious cause such as a drug-induced fever.


What are the symptoms of meningitis that I should be aware of?

Symptoms of meningitis can include a severe headache, sensitivity to light, neck stiffness, confusion, difficulty concentrating, and sometimes a rash. It is important to seek medical attention if these symptoms are present.


Can doxycycline cause a fever as a side effect?

Yes, doxycycline can cause a fever as a side effect, known as a drug-induced fever. If you suspect this, consult your healthcare provider.


When should I seek immediate medical attention for a headache?

You should seek immediate medical attention for a headache if it is severe, getting progressively worse, accompanied by a stiff neck, sensitivity to light, confusion, seizures, or if it is a new type of headache for you.


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