Hi,I am Dr. Shanthi.E (General & Family Physician). I will be looking into your question and guiding you through the process. Please write your question below.
Having Fever Frequently From 2 Months And Tiredness Increases In The Evening. All Tests Reported Normal. Reason?
Having fever on and off for last 2 months. (only in the evenings after 03.00 pm). slight temp of 100 (not more than 100). Red dots cluster appear on the legs with slight itching . And i feel overly tired. Especially in the evenings, energy level is totally low and weekends I tend to sleep the whole day because of tiredness. All the tests are normal and doctors are at a loss to know why this happens.
Hi and thanks for the query,
Fever with unknown cause could be fever of unknown origin (FUO). Before making this diagnosis, all possible diagnostic tests have to be done to rule out common viral, bacterial, tumoral, inflammatory and autoimmune causes of fever. This evaluation in an ideal situation should be done by a neurologist. Long term fevers should always lead to exclusion of Tuberculosis, pulmonary or extra pulmonary, sarcoidosis, connective tissue diseases and vasculitis. A complete blood count might be very helpful in orienting towards an anemia or raised white blood cells counts. These could be gateways to suspect hematologic malignancies.
I suggest you book and appointment with an internist for a proper assessment.
Thanks and best regards,
Luchuo, MD.
I find this answer helpful
1 Doctor agrees with this answer
You found this answer helpful
Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
We use cookies in order to offer you most relevant experience and using this website you acknowledge that you have already read and understood our
Privacy Policy
Having Fever Frequently From 2 Months And Tiredness Increases In The Evening. All Tests Reported Normal. Reason?
Hi and thanks for the query, Fever with unknown cause could be fever of unknown origin (FUO). Before making this diagnosis, all possible diagnostic tests have to be done to rule out common viral, bacterial, tumoral, inflammatory and autoimmune causes of fever. This evaluation in an ideal situation should be done by a neurologist. Long term fevers should always lead to exclusion of Tuberculosis, pulmonary or extra pulmonary, sarcoidosis, connective tissue diseases and vasculitis. A complete blood count might be very helpful in orienting towards an anemia or raised white blood cells counts. These could be gateways to suspect hematologic malignancies. I suggest you book and appointment with an internist for a proper assessment. Thanks and best regards, Luchuo, MD.