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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever Reoccurring Each Night?

my niece has reoccurring fever each night of 103. she was tested for lymes,meningitis,mono,lymphoma,malaria etc all negative, liver enzymes high, wbc low, blood glucose onset 400 but controlled with insulin, she has polycystic ovary disease with Meorena iud in place no periods, all radiology reports negative. They started treating for lymes but came back neg. she is currently in Pittsburgh hospital. we are worried any ideas?
posted on Tue, 6 May 2014
Twitter Wed, 24 Dec 2014 Answered on
Twitter Wed, 24 Dec 2014 Last reviewed on
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Infectious Diseases Specialist,  's  Response
Thanks for your query at HCM!
I went through your query!


Your patient is having persistent high grade fever. You have helped to rule out many diagnosis.
I suggest you get her blood test done for bacterial infections and serological tests for typhoid (Widal test) and Rickettsial infection.
Get Procalcitonin test to see if she is developing sepsis.

Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide.
Take care!
Dr. Sheetal Verma
Infectious Disease Specialist
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What Causes Fever Reoccurring Each Night?

Thanks for your query at HCM! I went through your query! Your patient is having persistent high grade fever. You have helped to rule out many diagnosis. I suggest you get her blood test done for bacterial infections and serological tests for typhoid (Widal test) and Rickettsial infection. Get Procalcitonin test to see if she is developing sepsis. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. Take care! Dr. Sheetal Verma Infectious Disease Specialist