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What causes high fever with body chills and red spots on arms ?

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Dr. Rahul Tawde

General & Family Physician

Practicing since :1980

Answered : 1 Question

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Posted on Mon, 25 Aug 2014 in Headache and Migraines
Question: My daughter (50) has had a migraine with new symptoms- all over aching she had a fever 101 during the night.She went to bed 6:30 pm and up at 2"30 am with more hurting. She texted me saying she has all that plus chills. She had curious red spots on her arms a few days ago. They are gone now.




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Answered by Dr. Rahul Tawde 6 hours later
Brief Answer:
Fever under evaluation

Detailed Answer:
Hi, thanks for posting your concern in the HCM.
A high fever with chills and history of rash need further clinical examination and investigation to rule out viral fever, pneumonia, UTI, vasculitis etc.
I need further information to come to a specific diagnosis.
1. Do you have cold & cough, chest pain, breathing difficulty.?
2. Do you have burning sensation during urinating?
3. Do you have retro-orbital headache or joint pain?
4. How is your bowel habit at present?
5. Do you have yellowish urine and pain in right upper abdomen?
You need a few investigation too.
1. Complete blood count, CRP, urea, creatinine, electrolytes, Malaria dual antigen, NS1 antigen
2. Urine routine examination
It is not advisable to have any antibiotic until you are diagnosed to have bacterial infection.
For the time being my recommendations are
1. Tab Paracetamol 500 mg as and when required for fever, at min. 6 hr interval
2. Tab Immunace Forte- One tab once daily for 7 days.
3. Plenty of oral fluid and ORS- 3 to 4 l/ day
4. Light diet at frequent interval
You should consult your family physician if the fever persists for more than another 2 days for further clinical examination.
For any further questions, please write back. Regards,
Dr. Kaushik
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Rahul Tawde 9 hours later
Hi, yes I have a slight cough, joint pain, neck, back, feet, hips. I do have a very tight chest when breathing and is a bit sore with a deep breath. Fever this morning was 100.7 so not a big deal. I am experiencing very cold moments as well as moments of sweating. My mom I guess got worried. I have been taking Ibuprofen and Tylenol combined. which seems to help allot. I am better already. I think I just got a small bug from my grandson.
doctor
Answered by Dr. Rahul Tawde 43 minutes later
Brief Answer:
Details written below

Detailed Answer:
Hi, thanks for posting your concern in the HCM.
My understanding is you are having some viral infection. So, antibiotics should be avoided for the time being.
You can follow my recommendations in the previous answer, because I had given that based on a provisional diagnosis of viral fever.
Another important opinion is, I don't prefer Ibuprofen, because it has more side effects. Paracetamol is safer option. For symptomatic relief you may take higher doses of PCM (650mg).
If you at all take Ibuprofen, please have it post-meal and take a PPI ( e.g. Pantoprazole 40 mg or Omeprazole 20 mg) before meal.
If you are satisfied with my answer, please close the thread and rate my answer.
For any further questions, you can write back to me directly.
Regards,
Dr. Kaushik
Above answer was peer-reviewed by : Dr. Raju A.T
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