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Query about fever and pain in the head - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3512 Questions
User :   47 yo male. Got a flu shot last week Tuesday, followed by 3 days of mild chills and achy muscles, all of which I attributed to the shot. I figured that's all it was because Friday and Saturday afternoon I felt perfectly fine again. Then Saturday evening around 8pm (last night), I had a fever of 105 degrees. Came on very suddenly. It sapped my strength to move, and I felt felt achy and chills all over again. Could barely eat. Couldn't get off the couch, too weak. Took two Ibuprophen and within an hour the fever had dropped to 100 which allowed me to feel strong enough to get up and go to bed. This morning I woke up and the fever seems to have tapered off but I woke with the sharpest head pain I ever felt. What made it unusual was that is was localized to a small area, about 2 inches in diameter in the front, upper left area of my skull, about 3 inches above the outer corner of my left eye. Just intense pain in a small area 2 inches across. Felt deep, like it was inside my head, not muscle. After an hour of being out of bed, walking around, it mostly went away, most noticeably after I had a cup of coffee. It's 2:15 in the afternoon now, I've eaten and the pain is still diminished and there is no evidence of fever but I feel rather low on energy and just plain weary. I'm worried I may have an anuerysm in my head. Would the tremendously high fever from the night before be related to the head pain I felt this morning? Never felt anything like that pain before, and I haven't had a 105 degree fever since I was young man in my 20's. What about the flu shot I had last Tuesday? Do you think this is an emergency or can I wait? Do I need an MRI of my head?
Doctor :   Hi,
User :   Hello Dr.
Doctor :   Let me read your query for few minutes to be able to have a good discussion here.
Doctor :   ok, the site you mention on your head corresponds to the frontal sinus
User :   Right, however I've had sinus infections before and this felt quite different.
Doctor :   and yes, the pain caused due to fluid retention in the sinus would be of same nature ( sharp ) as you described
Doctor :   ok, but aneurysmal pin will be more diffuse than you explain
Doctor :   and surely it will lead to vision disturbance or a block out commonly
Doctor :   i do not consider aneurysm being the cause
Doctor :   Are you able to read my posts ?
Doctor :   look for tenderness , swelling or redness
Doctor :   Are you reading me ?
User :   Okay, but I don't think it is a sinus infection. I've been treated for those before and usually it is accompanied by nasal discharge. Also, when I tap the sinus are with my fingers I feel no pain or pressure.
User :   Okay, but When I tap the sinus are with my fingers I do not feel pain or pressure and I have no nasal stuffiness or discharge, which I would normally when I've had sinus infection before. Also, the pain this morning felt quite different than previous sinus infections.
User :   Okay, but When I tap the sinus are with my fingers I do not feel pain or pressure and I have no nasal stuffiness or discharge, which I would normally when I've had sinus infection before. Also, the pain this morning felt quite different than previous sinus infections.
User :   Hello, my messages are not being sent..
Doctor :   I read them now
Doctor :   Do you ?
User :   Okay now I am seeing your messages, and yes I can see that you have gotten mine.
User :   Doctor: look for tenderness , swelling or redness
Doctor :   yes,
User :   no tenderness or redness at all.
Doctor :   ok,
Doctor :   Can you do a test for me , shake your head horizontally for few seconds and tell me how you feel
User :   okay...
User :   ...I feel dizzy, but no pain.
Doctor :   ok, thats normal
Doctor :   ok, is stil consider the sinus being the problem
Doctor :   but other causes like vascular involvement also to be considered
Doctor :   was the pain too deep ?
Doctor :   i mean deeper than what you felt wit sinusitis in past ?
User :   Yes, the pain felt more like it was under my skull, deeper than sinusitus, and it made me feel dizzy, which sinusitus normally does not.
Doctor :   ok, then consideration of affection to the cerebral venous sinus could be a choice
Doctor :   i would ask you to visit a neurologist to get it ruled out
Doctor :   scan may not be an emergency
Doctor :   but may be a requirement if the cerebral venous sinuses are involved
Doctor :   also visit the doctore who administered you the injection with the vial if you have
Doctor :   flu injection )
User :   Okay. Tomorrow I will call my family physician, the one who gave me the flu shot, when they are open and ask for a referral. Thank you.
Doctor :   it may give some insights based on the type of preparation
Doctor :   You are welcome
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