HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Fever And Chills Every Day At Same Time?

why is it that my boyfriend gets a fever of 103 everyday for last week at the same time with extreme chills after?? he went and got blood work done and everything was normal except his white blood cells were elevated. and the area around his liver was tender but liver tests were normal
Thu, 9 Oct 2014
Report Abuse
ENT Specialist,  's  Response
Hi. Thank you for writing to HCM.

Your boyfriend seems to be presenting a pattern of fever that is typical in malarial infections. I would recommend that you have his blood tested for QBC malaria or a peripheral smear (whichever is available). The fever spikes when the parasites enter the blood and subsides when they hide inside an organ. Liver being tender is also suggestive of malaria (Liver function tests may be normal in early stages).

Also since his WBC's are elevated it does indicate an infections. It would be useful to know the differentials such as if neutrophils are raised then it suggests a bacterial infection and in that case typhoid must be ruled out. If lymphocytes are elevated then it may be viral and dengue must be ruled out.

Therefore it is my opinion that you have him evaluated for this fever of unknown origin by a physician for a detailed work up, blood tests and ultrasound of the liver or may be CT scan of the abdomen. Based on the results appropriate management may be indicated. Currently paracetamol to reduce fever is the only symptomatic option. Management for malaria, typhoid and dengue vary considerably.

Hope this helps. Do let me know if you have any other questions.

I find this answer helpful
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask 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]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Causes Fever And Chills Every Day At Same Time?

Hi. Thank you for writing to HCM. Your boyfriend seems to be presenting a pattern of fever that is typical in malarial infections. I would recommend that you have his blood tested for QBC malaria or a peripheral smear (whichever is available). The fever spikes when the parasites enter the blood and subsides when they hide inside an organ. Liver being tender is also suggestive of malaria (Liver function tests may be normal in early stages). Also since his WBC s are elevated it does indicate an infections. It would be useful to know the differentials such as if neutrophils are raised then it suggests a bacterial infection and in that case typhoid must be ruled out. If lymphocytes are elevated then it may be viral and dengue must be ruled out. Therefore it is my opinion that you have him evaluated for this fever of unknown origin by a physician for a detailed work up, blood tests and ultrasound of the liver or may be CT scan of the abdomen. Based on the results appropriate management may be indicated. Currently paracetamol to reduce fever is the only symptomatic option. Management for malaria, typhoid and dengue vary considerably. Hope this helps. Do let me know if you have any other questions.