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

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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

What does fever with high white blood cells count suggest?

Answered by
Dr. Nagamani Ng

General & Family Physician

Practicing since :2010

Answered : 826 Questions

Posted on Tue, 6 Sep 2016 in Medicines and Side Effects
Question: Hi, I've had a fever since December 6, so approx. 8 1/2 months. It ranges anywhere from 99.0 F to 101 F on a regular basis, with occasional spikes to anywhere between 102 F and 104 something F, once even hitting 105 F. I've had blood tests and at first they came back with a high white blood cell count but now they are normal, yet I still have the fever. They've ruled out Epstein-Barr and Thyroid and a couple other things that I can't remember. They can't figure it out and it's kind of scaring me. Besides the fever, I'm mostly just tired. When it goes up to 101+ I get really bad chills but usually I just feel kind of foggy and lethargic. Have you or anyone you know seen this before? Please help me.

Answered by Dr. Nagamani Ng 4 hours later
Brief Answer:
Fever of unknown origin.

Detailed Answer:

Welcome to HCM,
The condition you are suffering from is called fever of unknown origin.
But Through investigations has to be made like CT chest and abdomen.
Blood tests for lymphomas and leukemias.
Autoimmune disorders like vasculitis, arthritis and lupus should be ruled out.
Upload the reports, so that we can help you to figure out
You should get the culture of body fluids like blood, gastric secretions and sputum.

Along with the fever have you lost weight and having chronic cough?

Do get back for the follow up.

Take care.
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
Follow up: Dr. Nagamani Ng 9 hours later
They did several types of blood tests but I don't have copies of them. My doctor said they looked perfectly normal though. No, I have not lost weight, nor have I had a chronic cough. I've just had the fever and some tiredness- and chills when it goes high enough. It should be noted that my normal temperature is approx. 97.3 F so a 99 F is actually a fever for me. In recent months, the fever has usually only gone up when I've been in high stress situations like finals or high intensity work days on the ranch. But then it usually comes back down again to the 99-100-something F region after a few days.
Answered by Dr. Nagamani Ng 10 hours later
Brief Answer:
check for auto immune disorders.

Detailed Answer:
In your case i find it not to be a cause of infection. As the fever is raising in stress condition. It would mostly be due to auto immune conditions, which are usually not tested as a first line diagnostic tests. Hence i suggest you to get them tested along with CT scan of chest and abdomen.

Take care.
Above answer was peer-reviewed by : Dr. Priyanka G Raj

The User accepted the expert's answer

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

Recent questions on  Autoimmune disorders

doctor1 MD

hi doctor, i am 45 year old indian lady.wt-62kg,height-163cm.i am suffering cytopenia.i did cbc,peripheral smear,bone marrow...

doctor1 MD

I am a 28 year old female with a number of autoimmune disorders - fibromyalgia the most recently diagnosed. I am currently on Lexapro, Zegrid OTC,...

doctor1 MD

Why is my stomach so sensitive in the mornings. Ive had this problem since I was a small child and I am now currently a 26 year old woman. I can...

doctor1 MD

Hello. I am a 43 year old woman in generally good health until recently. I have hypothyroidism and take 75 mcg Synthroid/day for appx 13 years....

doctor1 MD

1. low-grade fever (99.3-100.4) for 5 weeks (since 3rd week of October). never goes away for 48 hours Drs. cannot explain it. They have said that...

doctor1 MD

My 6 year old grandson developed a growing, perfectly round, bald spot on the back of his head, centered on his cowlick. It started in early...

doctor1 MD

My husband came home with brown stains on the front of his boxers, they are not mine i know only a woman can make brown stains am i right