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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Persisting Low Grade Fever, Chills. Stool Test Normal. Chances Of Malaria?

I am having low grade fever for the past 2 months. It started with the sore throat and fever 101. After 2 weeks my sore throat went away but fever remains around (99.4 to 100.4). from 4th week onwards I started getting very mild chills whenever I get fever. For the past 2 weeks I am having mild itches in my head, face and some times it is all over the body.

I went to my primary care doctor 5 times, they checked everything and took the blood tests (even malaria test- I went to India in last november right)and said "we couldn't find anything from the tests, so we don't know what causing it. We will do some more tests and see" they ordered stool test, but it came negative and i didn't get any calls from them. I emailed my doc, she didn't reply yet.

I called our doc from India, he said "it is hard to find malaria parasite in the blood" the symptoms looks exactly like malaria. If you didn't treat it properly then it becomes Jaundice.
Please let me know your opinion
posted on Sun, 26 May 2013
Twitter Tue, 28 May 2013 Answered on
Twitter Wed, 29 May 2013 Last reviewed on
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Critical Care Specialist,  's  Response
Hi User
Hi User
Thanks for posting your query on healthcare magic
Low grade fever for last 2 months definitely requires complete evaluation for infection in origin and noninfectious causes of fever. Malaria usually causes high grade fever with chills but just on the pattern of fever no one can rule out possibility of malaria.
Take the opinion of internal medicine specialist and you may be evaluated as PUO pyrexia of unknown origin after excluding common causes of fever.
Regarding diagnosis of malaria in this setting malarial antigen would be more helpful then direct visualization of malarial parasiten. Bone marrow examination may be help full if initial test will not give any clue
Hope this helps, wish you best health,
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Persisting Low Grade Fever, Chills. Stool Test Normal. Chances Of Malaria?

Hi User Hi User Thanks for posting your query on healthcare magic Low grade fever for last 2 months definitely requires complete evaluation for infection in origin and noninfectious causes of fever. Malaria usually causes high grade fever with chills but just on the pattern of fever no one can rule out possibility of malaria. Take the opinion of internal medicine specialist and you may be evaluated as PUO pyrexia of unknown origin after excluding common causes of fever. Regarding diagnosis of malaria in this setting malarial antigen would be more helpful then direct visualization of malarial parasiten. Bone marrow examination may be help full if initial test will not give any clue Hope this helps, wish you best health,