[64F] Experiencing fever and swollen lymph glands post-surgery

Patient Description

A 64-year-old female reports feeling feverish and having tender, swollen lymph glands in the neck a few hours after undergoing surgery. The patient's temperature is elevated at 97.9°F, which is higher than her usual 96°F. She describes the fever as making her feel very hot, and it started recently. The patient also experiences fatigue but has no pre-existing conditions or chronic illnesses. She has an allergy to ampicillin, which causes hives. Her current medications include acetaminophen, atorvastatin, vitamin B12, Allegra, hydrocodone, and omeprazole.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Postoperative Infection: Since you've recently had surgery, it's possible that you've developed an infection. This could explain your fever and swollen lymph nodes.

    • Treatment typically involves antibiotics and sometimes additional surgery to clean the infected area.
  • Viral Infection: Many viral infections can cause fever, swollen lymph nodes, and fatigue. Examples include the common cold, flu, and mononucleosis.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Bacterial Infection: Certain bacterial infections, such as strep throat or a skin infection, can cause similar symptoms.

    • Treatment typically involves antibiotics.

What you can do

  1. Rest and stay hydrated: This can help your body fight off an infection if that's what's causing your symptoms.
  2. Over-the-counter remedies: Acetaminophen can help reduce fever and alleviate pain or discomfort.
  3. Monitor your symptoms: Keep track of any changes in your symptoms or if they worsen.

However, given your recent surgery and the onset of these symptoms, it's important to seek immediate medical attention.

What you should look out for

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

  • Your fever rises above 100.4°F
  • You have difficulty breathing
  • You experience severe pain
  • Your symptoms worsen or do not improve in a few days

Please remember, while I strive to provide accurate information, I'm an AI and not a substitute for professional medical advice. Always consult a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

People Also Ask


What are the common signs of a postoperative infection?

Common signs of a postoperative infection include fever, redness or swelling at the surgical site, increased pain, and sometimes pus or discharge. It's important to contact your healthcare provider if you suspect an infection.


Can a viral infection cause swollen lymph nodes and fatigue?

Yes, a viral infection can cause swollen lymph nodes and fatigue. Viruses like the common cold, flu, and mononucleosis often present with these symptoms.


What should I do if I have a fever after surgery?

If you have a fever after surgery, it's important to rest, stay hydrated, and monitor your symptoms. Taking acetaminophen can help reduce the fever. However, you should seek medical attention if your fever rises above 100.4°F or if you experience other concerning symptoms.


How can I differentiate between a viral and bacterial infection?

Differentiating between a viral and bacterial infection can be challenging. Generally, viral infections tend to resolve on their own with rest and hydration, while bacterial infections may require antibiotics. A healthcare provider can perform tests to determine the cause of the infection.


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