Doctor insights on:
Is A Fever Always Present With Toxic Shock Syndrome
Very serious: Usually fever, very high >102, rigors (not just chills like the flu), low blood pressure, low urine output. It progresses rapidly and can be life-threatening. It can come from an infection in the vagina that gets into the pelvis or from a rapidly spreading skin or soft tissue infection, that is extremely painful-not just a bit painful. Seek attention immediately. ...Read more
Symptoms of endocarditis? Is always fever present or could stay endocarditis without fever? Constanly very red hands could be a symptom?Thanks
Yes: Parvovirus b19, the virus that causes fifth disease, can also cause fever and other flu-like symptoms in about 50% of cases. Normally though, by the time the facial rash that characterizes fifth disease arises, the fever and other flu-like symptoms have subsided. ...Read moreSee 1 more doctor answer
If a person has overlap myeloproliferative-myelodysplastic disorder which is causing an elevated WBC and a very high (and increasingly high) CRP, could antibiotics bring down the CRP even if there is no infection?
No: The outbreak was confined and hasn't recurred and the source was also identified. It's highly unlikely to recur. However, there are always new potentially serious infections which are communicable to humans for which we need to be vigilant. ...Read more
Mmm: to have tachy-Brady syndrome you need to have a sick sinus node so.. I don't think what you're saying makes much sense. If you have some ectopic tachycardia of some sort then you likely have a run of the mill SVT. Not tachy Brady. ...Read more
Uncertain how common: Information on the approximate percentage of rocky mountain spotted fever patients who get sepsis is hard to find. Nowadays, with antibiotic treatment, the rmsf fatality rate is 4%. A rough guess on the percentage with sepsis could be 20%-25%. ...Read moreSee 1 more doctor answer
Have atypical pneumonia. Shortness of breadth is prominent though fever is in control. Treatment ongoing with antibiotics. Is it a cause for concern?
Maybe.: Some SOB may be expected, but worsening SOB despite treatment is not expected and should prompt a review by your physician. You should call them and make sure that you are OK. ...Read more
Rapid, thready pulse: Many different causes -- treatment and prognosis depends on the cause. ...Read more
Should someone with a history of hemolytic uremic syndrome as a child follow up with a nephrologist as a adult? Even if they're not having problems
Not necessarily: If your primary care doctor has checked your kidney function and it is normal then you probably do not need to see a nephrologist. If there is any residual kidney damage from the HUS then it would be good to see a nephrologist. Many people recover fully from HUS and do not need ongoing care by a kidney specialist. ...Read moreSee 1 more doctor answer
Low grade of fever acting as stimulant of immune system in a child with urti. Avoid antipyretic below 37.5 c. Is it true?
I think so!: Many people have an unnatural fear of fever, and are medicating children for very low grade fevers. I think fever medication should be reserved for children who feel bad due to a fever; this often doesn't occur until temps are 102-103. One does not prevent seizures by giving medicine early. There are data that suggest that fever does stimulate the immune system and help us fight infection. ...Read more
What is small fiber polyneuropathy in a patient with pots? Is it progressive or fatal? What r treatments?
Causes: Small fibre neuropathy could be immune origin like sensory cidp, more often complication of diabetes, usually associated with "axonal neuropathies", not typically schwann cell process. Annoying, not fatal, but maybe progressive. Prove presence with skin biopsy, and may need ivig, but sometimes lyrica, (pregabalin) cymbalta, but maybe best metanx. ...Read more
Getting a temperature resulting in intense sweating with no luck. Could the seroquel (quetiapine) be causing neuroleptic malignant syndrome (nms)?
Probably no: Seroquel (quetiapine) is a second generation antipsychotic that could cause nms. Symptoms are muscle cramps and and tremors, fever, altered mental status and confusion, delirium and even coma, and bloop pressure instability. Incidence and prevalence have decrease. Incidence reported around 0.3 to 3%. ...Read more
Fever: inherited reaction to things that make us sick and may help kill the bad bugs. Great discussion at wikipedia. Give it a try before coming here. ...Read more
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