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Fever with chills,swollen joints - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor :   hi
Doctor :   Dr.xxxx here.
Doctor :   Please proceed with your health query
Doctor :   are you there?
User :   my daughter, age 36, has had 103-04 fever and chills to the point of being delerious, spotty eves and cannot walk. She went to ER yesterday, blood and urine work was OK and was given to IV bottles with meds to lower her fever. When it went down to 98, they sent her home. This has been going on since last Wed. evening. What can this be. She was also a kidney donor 2 yrs ago. thank you
Doctor :   let me read what you have typed. pls give me a moment
Doctor :   does she have any other symptoms like headache, or neck pain, neck stiffness?
Doctor :   does she have vomiting sensation at peak of fever?
User :   some headaches. Her joints are all affected from this
User :   no vomiting
Doctor :   ok. does this involve her large joints like knee, elbow etc? or small joints like fingers and toes?
Doctor :   was any blood culture sensitivity done? was any ultrasound scan done?
User :   knees, hips and fingers are swoolen
Doctor :   is she on any medications at present? if yes, what medications have been prescribed?
User :   no
User :   none
Doctor :   I would recommend you to request her treating doctor to go ahead with an ultrasound scan and blood culture sensitivity test to look for the infection
User :   the cold starts above her stomach and starts down through her hips then then the rest of her body, the shevering is awful
Doctor :   also tests like RA factor and serology should be done to rule out arthritis (since joints are swollen and painful)
Doctor :   if you stay in area that is having mosquito infestation, then consider doing tests for malaria and dengue to rulke out cause for fever with chills
Doctor :   that is coming in bouts
User :   i have RA & she has had some symtoms lately, mainly hands and writs
Doctor :   then RA should be ruled out in her case
Doctor :   since you have it, there are chances that she too can have
User :   yes is is coming in bouts, but with very little relief
Doctor :   have you followed what I said? fever coming in bouts and with chills suggest infection
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