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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Fever?

i am a 68 year old man . i have grade I prostate . have persistant low grade fever for last 20 days now. pain in groin area through to the knees, difficulty in flexing thighs, low back pain , lower abdomen pain , shortness of breath, nausea, have lost weight in the last few months. am a reformed smoker. i had stones in bladder but gone with medication.

got all tests done incl psa, TSH, x ray of chest, mycobacterium (for tb), ultrasound of abdomen, endoscopy, cbc, urine microscopy, RA, IG m but they are all in the normal range. diagnosis is unclear. pls help. i am distressed.
Thu, 12 Jul 2018
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Internal Medicine Specialist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Persistent fever for more than three weeks with unable to come conclusion after all investigations after 1 week of hospital admission is called pyrexia of unknown origin.

Common cause is:

Bacterial infections like abscess, tuberculosis or endocarditis or HACEK group infections etc, Hepatocellular biliary infections, Brucellosis, Lyme's disease etc. CMC infection, EBV , Herpes virus infections may cause above symptoms.

Hope I have answered your query.
Let me know if I can assist you further.





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What Causes Persistent Fever?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Persistent fever for more than three weeks with unable to come conclusion after all investigations after 1 week of hospital admission is called pyrexia of unknown origin. Common cause is: Bacterial infections like abscess, tuberculosis or endocarditis or HACEK group infections etc, Hepatocellular biliary infections, Brucellosis, Lyme s disease etc. CMC infection, EBV , Herpes virus infections may cause above symptoms. Hope I have answered your query. Let me know if I can assist you further.