Doctor insights on:
Recurring Fever (Overview)
Recurring fever = repetitive increased body temperature.
Recurring Fever (Overview)
Recurring fever = repetitive increased body temperature.
Why treat a low grade fever? It may be helpful, it should not affect you adversely other than being aware of it, and simply recording the levels of fever and the times it occurs may help your doctor if it persists and you need a diagnosis. If you are really bothered by it you can take Aspirin or tylenol (acetaminophen) every 4-6 hours to suppress it.
Less than a minute ago. ...Read more
FUO!: Fever of unknown origin is one of the most fascinating diagnostic puzzles, and the most satisfying, if the cause is indentified. Some are infectious, forms of arthritis, inflammatory disease of the intestines, many other autoimmune diseases, and cancer. You need to be evaluated quickly. Symptomatic rx should be tried (ie. Aleve), but this is not the solution. Treating the cause primary! ...Read more
Every month, I have a recurring fever which is accompanied with bad headache and lasts for 3 days. Please help!!
Medical attention: Since the symptoms are reoccurring it is doubtful you have an infection. The fevers are concerning for an inflammatory condition needs to be evaluated with a physical exam and labs for example. I do not know if this revolves around your monthly menstrual cycle if it pertains to you. ...Read more
A 9 month old baby has been suffering from recurring fever for three days. When the baby was examined on day 1, theent was clear and the temperature was 101. It was advised that the baby might be teething or may have a virus. Now, the temperature has reac
Always an option: Any kid can come in a day or 2 before their ear infection becomes clear, only to have the problem progress over 8-12 hours. If the kid is eating robustly and playful most of the time, a significant issue is less likely and a virus may be running it's course. If the kid is off his/her activity pattern, drinking has fallen and your parent sense is telling you it's more, get back in to have a recheck. ...Read more
My daughter has a a recurring fever for 10 days with no other symptoms. The doctor cleared her & said it must be a summer virus... What else can it b?
See doctor again: Most viral illnesses can lead to a fever that lasts 3-5 days. However, it is true that this may still be a viral infection. When fevers last over 14 days, it may be necessary to get blood work done to make sure this is not a bacterial infection (such as Lyme disease or a urinary tract infection), or an autoimmune process. ...Read more
Pcp is consulting with infectious diseases about recurring fever illnesses... Etc. What are they most likely looking for? Most common diseases in western US (Utah). Just wanting answers. Frustrated and confused.
Recurrent fevers: This is a good strategy - to get more 'minds' involved in your case. ID doctors can help by considering any possible causes that could contribute to your symptoms. Fevers are the body's reaction to some kind of 'insult' -whether that's from a germ or something else, such as a rheumatologic disease. There should be some useful history that would help guide the tests and clarify your diagnosis. ...Read more
Increased (3x normal) kappa lambda chains with normal ratio. Recurring fever that goes away with plaquenil (hydroxychloroquine). Is this babesiosis, malaria or parasitic?
Kappa lambda chains:
You come with a question which still I do not have the correct answer. Went to Webb MD, searched all the possibilities and came with this response.
Do you have a copy of 'Understanding Serum Free Light Chain Assays' from the International Myeloma Foundation (IMF)? It clearly goes into all aspects of the Bence Jones issue. Under the Serum Free Light Chain Assays: Normal Versus Abnormal it says:
"Normal levels of serum free light chains are*:
Kappa: 3.3 -19.4 mg/L*
Lambda: 5.7 -26.3 mg/L*
Kappa/lambda ratio: 0.26- 1.65
*NOTE: The units here are mg/L; different laboratories use different units It is important t double-check the units used when comparing numbers in lab values.
The Kappa/Lambda Ratio
1. The kappa/lambda ratio is as important for diagnosis and monitoring of myeloma as are the levels of kappa and lambda. 2. When the level of either kappa or lambda is very high and the other chain is normal or low, then the ratio is abnormal and indicates that the myeloma is active. 3. If levels of both kappa and lambda light chains are increased, the ratio may be within the normal range, and this generally indicates a disease other than myeloma, such as poor kidney function. When the kidneys are not working properly, both types of light chains are retained in the blood and are not removed by the kidneys. The result is increased levels of both kappa and lambda in the blood. In this situation, in general, the abnormally increased levels are not themselves a direct result of currently active myeloma. 4. If the kappa and lambda levels are both within the normal range, sometimes the ratio may be abnormal. In this situation there may be a persistent low level of active myeloma with excess production of the abnormal light chain. 5. A normal kappa/lambda ratio after treatment is particularly good remission and is termed a stringent complete response. Normalization of the kappa/lambda ratio correlates with possible longer remission and studies are in progress to investigate more about the nature of this relationship,
Yana, this comes directly from the afore named booklet. You can get a complete set of myeloma information from the IMF by going online and ordering it -- for FREE! Its a great resource and they have many other things relative to myeloma patients and carers -- the site is well worth a look!! I don't know if this answers your question, but its a good place to start. ...Read more
What tests should I get for lymphoma? I already got a CBC. No swollen lymph nodes. Been having recurring fever, etc for a month
Recurring fever with 2g proteinuria with 1.1-2.2 serum creat. Ebv b19 cmv igg positive/elevated. Neph says igg means no current infection. Workup?
Still ask your doc: Since you have come this far in evaluation and care, it would be most logical and beneficial for you to bring all of your concerns and questions to your doctors since they would know your individual conditions more than anyone online. More online sporadic inquiry at this time may induce more unnecessary anxiety and fear. ...Read more
I've been having recurring fever blisters/canker sores over the past few weeks on different parts of my body (lips, between thighs, etc)Any reason/cause?
Have doc take a look: Medicine is both an art and a science, shortcuts don't usually work. It's not often possible to say with certainty what is causing a problem without 1) seeing it and b) taking a history of the illness. In addition, sometimes testing is needed. I wish that technology for distance diagnosis was better than it is, but for now seeing a doctor in person will help you the most. Hope you're better soon! ...Read more
Mcv low rdw, tsat, lymph, platelets, high gran/wbc recurring fever and increased kappa lambda chains with normal ratio. Can this by due to malaria?
Increased kappa lambda chains:
Antibodies are produced by B lymphocytes, each expressing only one class of light chain. Once set, light chain class remains fixed for the life of the B lymphocyte. In a healthy individual, the total kappa to lambda ratio is roughly 3:1 in serum (measuring intact whole antibodies) or 1:1.5 if measuring free light chains, with a highly divergent ratio indicative of
The exact normal ratio of kappa ...Read more
Recurring fever with swollen and hot ankles, lower legs that appear arthritic. Increased k/l light chain and easy bruising. Need an expert on fmf?
Asthma since birth nw pain at lower left of chest CXR says pleural effusion in left lung night sweats recurring fever SOB red rash upper back male 31?
Look into infection: With pleural effusion pain can occur until the effusion resolves. With your history of asthma, the possibility of infection is high. Your symptoms of fever and rash suggest seeking medical treatment is imperative. You may need antibiotic treatment for full resolution of symptoms. Also look into possible tuberculosis, or non infectious causes ...Read more
Non viral causes of high monocytes 16%? 4 y/o w/Symptoms: recurring fever, cyanosis, joint pain, no appetite, swollen lymph nodes. FH of JRA & Lupus.
Not the key: As a pathologist and lab specialist, I would discourage you from paying any attention at all to percentages, or to monocytes unless the absolute count is well over 1000. Sounds like a JRA variant if it is clear there is no heart defect or endocarditis ...Read more
How can an MRI, CT, 2 colonoscopies & an EGD fail 2 find cause of dark GI bleeding, steatorrhea, and >1yr recurring fever? Besides polyp + some random inflammation in antrum & sigmoid, no answers : (.
Small intestine: One test not mentioned is a capsule endoscopy ...Read more
I have a recurring fever of 37.5~37.9 C for last 3 months. CBC, LDH, LFT all normal. No swelling. Abdomen MRI, US, chest & throat xray ok. What to do?
No fever: Those temperatures show no fever. 37.0 is not the maximum normal body temperature. It is the average temperature in all people, and most individuals' average temperatures over 24 hours. All healthy people occasionally have temperatures 37.5-37.9, especially in the afternoon and evening. You are healthy and do not need to do anything. Do not have any more tests of any kind. ...Read more