Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
192 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 cold, chills and fever when diagnosed with aspiration pneumonia?

Answered by
Dr.
Dr. Muhammad Ahmad

General & Family Physician

Practicing since :2012

Answered : 1308 Questions

default
Posted on Sat, 10 Sep 2016 in Medicines and Side Effects
Question: I am concerned about my brother. He has frequent hard cold chills and high fevers. He has had 3 episodes within the last 15 days, but over the last two years there have been about 45 episodes. He has been diagnosed with aspirational pneumonia due to a swallowing problem, however, within the last 3-4 weeks, he has been on antibiotics and still comes down with the hard cold chills and fevers. Could he have another condition that we need to look into? His last xray did not reveal pneumonia. Can you help us?
doctor
Answered by Dr. Muhammad Ahmad 1 hour later
Brief Answer:
He needs a full diagnostic work up.

Detailed Answer:
Hello,

Thanks for writing to Health Care Magic, I am Dr Muhammd Ahmad, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.

This kind of fever is called pyrexia of un known origin its causes range from it's causes(usually atypical) range from:

Tuberculosis,
Brucella,
Atypical pneumonias.
Hidden infections.
Some cancers.
Absesses.
Drugs.
CMV.
lyme's Disease.
HIv
and tens of other causes.

When a person keeps getting fever ans doesn't get cured then he should be checked for atypical causes of Pyrexia of unknown origin. For this purpose a complete work up is done with blood works Xrays ultrasound and every relevant lab including specific tests for detection of above mentioned rare infections and diseases.

Best stretagy here in case of your brother is to continue medication as prescribed by doctor and set an appointment to discuss getting other labs done specially the blood urine cultures to see what bug it can be. If there is a clear Xray it is less likely to be Aspiratuon related.



I would advise you not to panic and think with a clear mind and work on a plan to reach a diagnosis , once the cause is known , treatment wont be a big issue.


I hope this answered your question, if you have more feel free to ask,otherwise close the discussion and rate it.

Regards.

Dr.Muhammad Ahmad.
General and Family Physician..
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Muhammad Ahmad 3 hours later
Dear Dr. Ahmad: Thank you for your response to my question. Obviously, I have reason for concern. I don't want to be pessimistic about his health, but I do have concern. Our father was a smoker and developed bladder cancer and had to have his bladder removed. He later developed lung cancer. Looking back, there were signs that the doctors never caught. Our father developed what we and the doctors thought was laryngitis. He then lost the ability to speak above a whisper. Still nothing was caught by the doctors. Then we went to see an ear, nose, throat specialist who immediately said, "He has a paralyzed vocal cord and I see this in lung cancer patients." We were floored as the word "cancer" had never been mentioned to us. He had a bronchoscopy and that didn't find anything. He then had a biopsy of his lung and it revealed he had squamous cell lung cancer that had spread to his liver. All that time wasted and he had lung cancer all along and it was never caught. My brother smokes at least a pack of cigarettes a day. He did have a PET scan a few years ago as there was a little "nodule". PET scan came back okay then. Do we need to have something like this again? Thank you for your time. Any help you can give me would be greatly appreciated. What would you do if he were your patient?
doctor
Answered by Dr. Muhammad Ahmad 8 hours later
Brief Answer:
Fever needs to be diagnosed then further treatment to come

Detailed Answer:
Hello,
Thanks for writing back and explaining things in such detail. Indeed after all what happened , you have every reason to be concerned for your brother. Infact concern for your own and your loved one's health is very healthy natural response if it isn't extreme.

I understand the grief, helplessness, disappointment you must have felt i case of your father, medical science has it's own limitation and sometimes things work in a direction we never would have wanted them to.

As i already mentioned, you have to stay as calm as you can this will let you make the right choices you brother doesn't have to go through any random testing that wont be of any help he needs to be diagnosed for the cause of fever what ever it is.

Finding the cause of Pyrexia of unknown origin is a systematic science and has proper protocols and guidlines , a set of tests is done to find the cause which is then treated, you can discuss this with your doctor who will most probably initiate the diagnostic testing.

You brother should learn from what happened to your father and he should think to quit smoking even if he does it gradually , it will be of great help.

I am always here to guide you through the process but currently you main focus should be the fever and it's cause.Aftwr finding the cause further considerations about treatment and dosgnostics can be made.
I wish him everlasting health.

Regards.

Dr Ahmad


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Medical Procedures
Medical Topics

Recent questions on  HIV

doctor1 MD

I took a test n I m pregnant I ve had unprotected sex with my boyfriend cuz I m on the Nuva ring I had an unexpected 2 nights with my ex the first...

doctor1 MD

Hi I wasn't sure who to ask or what to do about this but i couldn't really ask my parents so I figured this would be the best place and hopefully...

doctor1 MD

My boyfriend and I had sex this morning. We used a condom. He was pulling out as he was ejaculating. The condom got stuck halfway out of my vagina....

doctor1 MD

how much time does it take for krimson 35 to dissolve inside the body?Please let me know as I took krimson 35 and then vomitted and on the next day...

doctor1 MD

I just had a mutual masturbation session with a sex worker However she removed her hand from inside her vagina and used it roughly on my penis in a...

doctor1 MD

i bought food the food was in a container with a plastic at the top covering the container how ever i notice the plastic on 1 container was...

doctor1 MD

Dear doctor thanks for your valuable reply however my further query is for last two weeks I have a mild rash under my eye which is persistent and...